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3 I4 0 y4 2 R I9 - I9 2 I9 2 - - - - - - - - 4 4 - - - - y4 - - - - I9 - - - - - - - - - : E S L / B i l i n g u a l & S p e c i a l E d u c a t i o n
T e s t A s s i g n m e n t a n d A c c o m m o d a t i o n s
S t u d e n t N a m e : F O R M T E X T L o c a l I D # : F O R M T E X T G r a d e : F O R M T E X T T e s t A s s i g n m e n t B a s e d o n E l i g i b i l i t y S T A A R V e r s i o n R M S S S W E n g l i s h F O R M C H E C K B O X FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX 3-5 ONLY Spanish
No other linguistic accommodations allowed. FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX L
Only first 3 years in U.S./English version only)
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Modified
Determined by the ARD, but there are unique and specific accommodations for LEP/Special Ed. students. FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX TELPAS
TEA expects all LEP students to participate in every domain and exemptions should be rare.Listening FORMCHECKBOX Yes FORMCHECKBOX NoSpeaking FORMCHECKBOX Yes FORMCHECKBOX NoWriting FORMCHECKBOX Yes FORMCHECKBOX NoReading FORMCHECKBOX Yes FORMCHECKBOX No
*Selected accommodations will also be provided for TELPAS reading, if applicable.Optional Test Procedures & Materials RMSSSWPreferential Seating (n/c) FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Special Lighting Conditions FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Signed or Translated Test Directions FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Reading Test Aloud to Self FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Read Aloud the Writing Prompt FORMCHECKBOX Scratch Paper or Other Workspace (n/c) FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Minimize Distractions FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Colored Overlays FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Magnifying Device FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Blank Place Marker (n/c) FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Highlighter/Colored Pencil (n/c) FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX n/c: no committee determination, request by teacher or content areaType 1 AccommodationsRMSSSWIndividual Admin FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Small Group FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Reminders to Stay on Task FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Amplification Devices FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Projection Devices FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Type 2 Accommodations Manipulating Test Materials FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Oral/Signed Admin (Q & A ALL) FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Oral/Signed Admin (Q & A PART) FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Oral/Signed Admin (Q & A CHANGE) FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Spelling Assistance FORMCHECKBOX
Eng. I-III
short answer ONLY FORMCHECKBOX
Writing Comp 4/7-Eng I-III ONLYMath Manipulatives FORMCHECKBOX Calculation Device FORMCHECKBOX FORMCHECKBOX Basic Transcribing FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Supplemental Aids FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Type 2 Accommodations ContinuedExtra Time FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Large Print FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Dictionary FORMCHECKBOX
GR 3-5 ONLY FORMCHECKBOX
GR 4 ONLYBraille FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Type 3 AccommodationsARF REQUIREDRMSSSWComplex Transcribing FORMCHECKBOX
Writing Comp 4/7/Eng I-III ONLYMath Scribe FORMCHECKBOX FORMCHECKBOX Photocopying Test Materials FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Extra Day FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX
STAAR English Linguistic AccommodationsRMSSSWStandard Dictionary FORMCHECKBOX FORMCHECKBOX Bilingual Dictionary FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX ESL Dictionary FORMCHECKBOX FORMCHECKBOX Other Language ESL Dictionary FORMCHECKBOX FORMCHECKBOX Picture Dictionary FORMCHECKBOX FORMCHECKBOX Clarification in English FORMCHECKBOX
English I-III Only
Short Answer FORMCHECKBOX
Words in
Prompt OnlySTAAR L Linguistic AccommodationsMSSSClarification in English (ECG) FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Text Read Aloud FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Bilingual Dictionary FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX *All committee members and selected test administrator must thoroughly review the linguistic policies below unique to STAAR Modified in the State Assessment Reference Guide.STAAR Modified Linguistic Accommodations RMSSSWStandard Dictionary FORMCHECKBOX FORMCHECKBOX Bilingual Dictionary FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX ESL Dictionary FORMCHECKBOX FORMCHECKBOX Other Language ESL Dictionary FORMCHECKBOX FORMCHECKBOX Picture Dictionary FORMCHECKBOX FORMCHECKBOX Clarification in English of meaning of words in test items FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Clarification in English of meaning of words in reading and writing selections FORMCHECKBOX FORMCHECKBOX Reading aloud of words in test items FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Reading aloud of words in reading and writing selections FORMCHECKBOX FORMCHECKBOX Oral translation FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Bilingual Glossary (word list) FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX Copy of completed form provided to Campus Testing Coordinator.
________________________________________________ _____________________________
LPAC Coordinator Signature Date
________________________________________________ _____________________________
ARD Committee Chair Signature Date
Updated
12/04/12
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