CLASS_____________________________ TEACHER_________________Write the date and

time the accommodation was ma de in the empty box next to the accommodation row under the
student’s column

Student Student Student Student Student Student Student Student

1 2 3 4 5 6 7 8

Teacher reads out

loud

Class notes
provided

Instructions written
and spoken

Worked with a
partner

1:1 with teacher

Questions and
answers read
outloud to student

Content and
language support

Spelling support

Shortened
instructions (1 to 2
steps)

Visual Aids
(Pictures, flash
cards, ect)

Study sheets/
Reviews/
Summaries

Peer tutor/ partner

work option

Extra time for oral

response

Extra time for

written response
CLASS_____________________________ TEACHER_________________Write the date and
time the accommodation was ma de in the empty box next to the accommodation row under the
student’s column