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SDI Documentation Form

Special education law (IDEA 2004) mandates that specially designed instruction (SDI) be provided to students as written into
their Individual Education Programs (IEPs). This tool can be used to document your implementation. Documentation should be
available for at least two years after implementation.
IEP Date:

10/02/2015

IEP Revision Date:

Student Name: Edward Example


SDIs
Testing Accommodation:
Allow verbal responses to add to written
response (prompt to finish/expand test

Week of 1/25/16

Frequency
Graded
assessments
and exams

M
NA

T
NA

W
NA

Th
NA

F
NA

Per test/quiz

NA

NA

NA

NA

NA

Per failed test


or quiz

NA

NA

NA

NA

NA

In all classes

NA

NA

NA

NA

NA

per test/quiz

NA

NA

NA

NA

NA

Nonevaluative
assignment
today. Group
study Guide

Non-evaluative
assignment
today. Group
study Guide

questions when teacher notices incomplete


response)

Testing Accommodation: Extended time


for testing, not to exceed 1 additional class
period.

Testing Accommodation:
If Brad fails a test in any subject, he will have
the ability to retest on the errors he made (the
same questions/problems) either through
written or verbal means.

Testing Accommodation:
Ability to write answers directly on tests with
answers transcribed by school personnel when
scrantron must be used

Testing Accommodation:
Tests modified to reduce the amount of
handwriting (i.e. fill in blanks, multiple choice,
true/false, short answer)

Testing/Writing Accommodation:
Evaluate writing for content rather than
mechanics when no editing time is given

Per writing
assignment

NA

NA

Checked in
with him
about
Wednesdays
assignment
(Spine
Analysis) and

told him he
can complete
as a
powerpoint or
a document,
or a visual aid
that is handcrafted. He
said hell
probably do a
powerpoint.

Study Guides:
-Given 2 days in advance for tests and lengthy
quizzes (quizzes that include more than one

Prior to
tests/lengthy
quizzes

Fill in Blank on
Theatre History

Fill in Blank on
Theatre History

NA

NA

NA

page of notes) in all classes.

When notes
are given in
class

Need to see if
blanks were
large enough
for him. and
adjust for next
time as
needed.

Need to see if
blanks were
large enough for
him. and adjust
for next time as
needed.

NA

NA

I wrote down
some notes
FOR him
today, as I
was worried
hed forget
something we
discussed
one-on-one,
having never
worked with
him before

Daily

NA No
Textbook

NA No
Textbook

NA No
Textbook

NA No
Textbook

NA No
Textbook

-Provide answer key 2 days before test/quiz


-Study guides given should match the
information being tested or quizzed.
-Indication on the study guide of which
concepts will be tested in an essay format.

Classroom Accommodation:
Enlarged blanks in fill-in-the-blank notes,
skeletal outline notes, highlight notes, or copy
of notes from teacher once completedepending on the amount of information being
covered and amount of writing or copying.

Classroom Accommodation:
Extra set of text books for home

Assignment Accommodation:
Shorten length of assignments and/or allow
more time to complete assignments when
lengthy reading or writing is involved

Per assignment

None needed
today.

None needed
today.

May need for


Spine
Analysis, but
hasnt yet
asked for it.

None
needed
today.

None
needed
today.