CHAPTER 3
Name: _Jason Wentworth Birthdate: February 23,2003
School: Greystone Elementar evga egg aes
November 13,2011,
Teacher: Mary Russell ae
Review Dote: At the endof the Geek grading period _
‘General Strength: Jason has ebove average intellectual bit, He is popular with his classmates, Disciplines generally not
problem. Supportive and involved parents
cererai Weaknessce! Jason exhibits ADHD. He has dtfeutty concentrating (except for brief perio of time) and hes
aera caeea lessroom assignments and honaworare fequetiy net completes Reser evidence ef growing Frusire
Sion nd loss of self-esteem.
‘Specitie Aecommodations
‘Accommodation #1
Claes: —Allelasses
‘Accommodation(s}: We
Person Responsible for Implementation: Mes. Russell
‘Accommodation #2
Clase: —Allclosses
‘Accommodation(s): Jason willbe a
Person Responsible for Implementation: Mrs. Russell
ess 40 « study carrel when working on classroom assignments or taking tess
‘Accommodation #3
Class: —Allclasses
‘Accommedation(s):— Taso
porents wll sign notepad and return it to school,
Person Responsible for Implementation: —Mrs. Russell
Clase: —All classes
sscconmodatin(s)_Jesen wil recive prise and recognition for task compltin and appropriate behave. Teaches
provide immediate feedback whenever passibl
Porson Responsible for implementation: — Mrs. Russell
‘Weekly progress reports te parents via telephone or email
General Comments:
‘Accommodation Plan Team Members:
Name ‘Team Member's Signature Position/Title
Ms.Clake Wentwonh = _ lane Meet ___. Parent/Guardian
‘ue, aloh Hastings. Zale Gautuas ____ Assistant PrinaipavS04 Coordinator
Ms. Wikired Smith __—~='«=s__ ened Sth _______ School Counsolor
Ms. Jennifer Jenkins tennis Sckess_____—_‘Resouree Teacher
Tis. MaryBussel = _tase Rate’ _____Goneral Educator
Copies: Parent
Classroom Teacher(s)
Cumulative Fle
other:
Figure 3.6 Section 504 Accommodation Plan
occ: Adopted om the Samp accommrhatin plan ete From Se
‘loping Acommesetion Plas and Documenting Comprence 2nd. (5.46,
‘ice. Copy 207 by PROED, ne. epiged with permission.
ion Sos ond Pub Schools APrct Gude for Deteriing Ebi
Spec Srithand)R Patton, 2007 Ate,