🔲Assistive Technology 

• 🪜(Explain how the AT helps the student in the school environment)

• 🔵ACAP Summative (Testing Support Form, as an Accommodation)

• ⭕ACAP Alternate (Testing Support Form, as an Accommodation)

🔲Breaks (🏆Self-Management)

• 🪜(Explain how breaks are utilized by the student (frequency, location, initiation versus scheduled, etc.)

• 🔵ACAP Summative (Testing Support Form, as an Accommodation)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support

🔲Choice-making in the school environment (🏆Antecedent-based Intervention)

• 🪜(Explain how choice making in the school setting, classroom promotes positive learning experiences)

🔲Coping skills (🏆Cognitive behavioral Intervention)(🏆Self-Management)

• 🪜(Describe what techniques the student utilizes to cope and how the student identifies they need this throughout the day, in the school environment)

🔲Electronic device

• 🪜(Be specific how the electronic device supports the student in the school environment for instructional support, not entertainment)

🔲Flexible seating🪜

🔲Location for highly preferred activities/items to increase interest level (🏆Antecedent-based Intervention) (🏆Reinforcement)

🔲Magnification/Enlargement (🏆Visual Supports)

• 🪜(Be specific in how magnification/enlargement supports the student in the school environment/classroom)

• ⭕ACAP Alternate (Testing Support Form, as an Accommodation)

🔲Oral reader of classroom tasks/activities/assessments (meaning they read out loud to themselves)

• 🪜(Describe how this is accommodated for the student)

• 🔵ACAP Summative (Testing Support Form, as an Accessibility Support)

🔲Peers are available to interact with and/or help the student (🏆Peer-mediated instruction and intervention)

• 🪜(Explain how peers help the student acquire new behavior, communication, and social skills by increasing social and learning opportunities within natural environments. 

🔲Picture Cards (🏆Visual Supports)(🏆Reinforcement)

• 🪜(Be specific in how picture cards are supporting the student in the school environment/classroom)

• ⭕ACAP Alternate (Testing Support Form, as an Accommodation)

🔲Positive self-talk support (🏆Cognitive behavioral Intervention)(🏆Self-Management)

• 🪜(Describe who the student is supported to use positive inner dialogue throughout the school environment/peer interactions)

🔲Prompting (🏆Prompting)(🏆Reinforcement)

• 🪜(Be specific in the type of prompting is used in promoting success in the school environment)

🔲Seated near materials🪜

🔲Seated away from materials🪜

🔲Seated near teacher/instructional leader🪜

🔲Seated away from teacher/instructional leader🪜

🔲Self-Monitoring (🏆Cognitive behavioral Intervention)(🏆Self-Management)

• 🪜(Describe what the student does to monitor their behavior and how they utilize specific strategies to help them)

🔲Sensory tools/considerations (🏆Self-Management)(🏆Reinforcement)

• 🪜(Be specific in what the tool provides the student support)(Refer to Sensory Resource)

🔲Social skills support(🏆Self-Management)

• 🪜(Be specific in what behaviors the social skills are targeting and how the support is being implemented in the school environment)

🔲Special lighting or acoustics (light filters, natural bulbs, etc.)🪜

🔲Visual boundaries (🏆Visual Supports)(🏆Reinforcement)

• • • •  🪜Describe the visual boundary and how it supports the student, for example, carpet squares, furniture arrangements, masking tape, etc.)

🔲Visual Supports (🏆Visual Supports)(🏆Reinforcement)

• 🪜(Explain how the specific visual support(s) support the student in the school environment.

🔲Other ________________________________________________________________________________________

• 🪜(Describe how this accommodation/support helps the student in the school environment)

• ⭕ACAP Alternate (Submit a Special Request Form for this to be considered by ALSDE, then if approved fill out the Testing Support Form with this being an Accommodation)

• 🔵ACAP Summative (Submit a Special Request Form for this to be considered by ALSDE, then if approved fill out the Testing Support Form with this being an Accommodation)

🔲Advance notice of schedule changes (🏆Antecedent-based Intervention)

• 🪜(Explain how the advance notice of schedule changes supports the student)

🔲Advance notice of disruptions in routine🪜(🏆Antecedent-based Intervention)

🔲Assistive Technology

• 🪜(Describe how the AT helps the student with timing/schedule)

• ⭕ACAP Alternate (Fill out the Testing Support Form with this being an Accommodation)

🔲Breaks (🏆Self-Management)

• 🪜(Explain how breaks are utilized by the student (frequency, location, initiation versus scheduled, etc.)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

🔲Changing schedule to accommodate tasks, activities, assignments, or assessments to occur during optimal learning times for the student🪜 

🔲Changing schedule to accommodate tasks/activities that are highly preferred by the student🪜 (🏆Antecedent-based Intervention)

🔲Choice-making in scheduling🪜(🏆Antecedent-based Intervention)

🔲Coping skills time provided in the schedule for the student. (🏆Cognitive behavioral Intervention) (🏆Self-Management)

• 🪜(Describe what techniques the student utilizes to cope and how the student identifies they need this throughout the day, in the school environment)

🔲Coordinated due dates for assignments of major projects/assignments across curricular areas🪜

🔲Electronic device

• 🪜(Be specific how the electronic device supports the student with timing and scheduling, not entertainment)

🔲Extended Time

• 🪜(Be specific on how much extended time and how this benefits the student instructional tasks, activities, assignments, or assessments)

• 🔵ACAP Summative (Testing Support Form, as an Accommodation)

🔲Goal-setting opportunities are provided for the student to promote focus toward  tasks, activities, assignments, or assessments (🏆Cognitive behavioral Intervention) 

🔲Highly preferred activities/items to increase independence in using time appropriately and initiative toward completion of tasks🪜 (🏆Antecedent-based Intervention)(🏆Reinforcement)

🔲Late work, reconsider giving a zero grade (which is almost impossible to recover from). Lowering by one letter grade (C instead of B) is a sufficient consequence.

• 🪜(Be specific on when this will be in place (subjects/classes) and how this benefits the student instructional tasks, activities, assignments, or assessments)

🔲Magnification/Enlargement (🏆Visual Supports)

• 🪜(Be specific in how magnification/enlargement supports the student with scheduling or timing)

• ⭕ACAP Alternate (Testing Support Form, as an Accommodation)

🔲Multiple days to complete tasks/activities due to increased processing time/response time by the student.

• 🪜(Explain how multiple days for tasks/activities has helped the student)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

• 🔵ACAP Summative (Testing Support Form, as an Accommodation)

🔲Multiple days to complete tasks, activities, assignments, or assessments due to initiation to begin/motivation to continue tasks/activities.

• 🪜(Explain how multiple days have helped the student with the initiation of tasks, activities, assignments, or assessments or helped them be more motivated to complete) (frequency, location, etc.)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

• 🔵ACAP Summative (Testing Support Form, as an Accommodation)

🔲Picture Cards (🏆Visual Supports)(🏆Reinforcement)

• 🪜(Be specific in how picture cards are supporting the student with timing and scheduling)

• ⭕ACAP Alternate (Testing Support Form, as an Accommodation)

🔲Planner/Calendar/Assignment Sheet Usage 

• 🪜(Be specific in how the student benefits from having this offered to them and the details that need to be in place in the locations required by the student)

🔲Positive self-talk support- Encourage the student to use positive inner dialogue in connection with scheduling and timing(🏆Cognitive behavioral Intervention) (🏆Self-Management)

🔲Prompting (🏆Prompting)(🏆Reinforcement)

• 🪜(Be specific in the type of prompting is used in scheduling and timing to help the student be successful)

🔲Provide with warnings about the next activity 🪜(🏆Antecedent-based Intervention)

🔲Sensory tools/considerations (🏆Self-Management)(🏆Reinforcement)

• 🪜(Be specific in what the tool provides the student support)

🔲Sensory Stimuli access (🏆Self-Management)(🏆Reinforcement)

🔲Timers 

• 🪜(Be specific in what style of timer and how the timer provides the student support)

🔲Token economy system/point systems(🏆Reinforcement)

🔲Use special lighting or acoustics (light filters, natural bulbs, etc.)🪜

🔲Visual Schedule🪜(🏆Visual Supports)(🏆Reinforcement)

🔲Visual Supports (🏆Visual Supports)(🏆Reinforcement)

• 🪜(Explain how the specific visual support(s) support the student with timing and scheduling, consider the interval of the schedule as well, daily, weekly, etc.)

🔲Other ________________________________________________________________________________________

• 🪜(Describe how this accommodation/support helps the student with scheduling or timing.

• ⭕ACAP Alternate (Submit a Special Request Form for this to be considered by ALSDE, then fill out the Testing Support Form with this being an Accommodation)

• 🔵ACAP Summative (Submit a Special Request Form for this to be considered by ALSDE, then fill out the Testing Support Form with this being an Accommodation)

🔲Abacus provided with tasks, activities, assignments, or assessments that require keeping track of numbers.🪜(🏆Visual Supports)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

• 🔵ACAP Summative (Testing Support Form, as an Accessibility Support)

🔲Abacus provided with tasks, activities, assignments, or assessments that require basic mathematical operations.🪜(🏆Visual Supports)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

• 🔵ACAP Summative (Testing Support Form, as an Accessibility Support)

🔲Alter the method in which instruction is provided🪜(🏆Antecedent-based Intervention)

🔲Assistive Technology

• 🪜(Describe how the AT helps the student in how tasks, activities, assignments, or assessments are presented)

• ⭕ACAP Alternate (Fill out the Testing Support Form with this being an Accommodation)

🔲Audio recordings of passages/books when presented with tasks, activities, assignments, or assessments related to the selection

• 🪜(Explain specifically what the student needs recorded and how it supports them in these tasks)

🔲Braille🪜

• ⭕ACAP Alternate (Fill out the Testing Support Form with this being an Accommodation) (Paper)

• 🔵ACAP Summative (Testing Support Form, as an Accommodation)(Paper)

🔲Break down skills into small components and teach small parts one by one🪜(🏆Discrete Trial )

🔲Break down skills into small components and add on a new skill after a skill has been mastered🪜(🏆Discrete Trial using Chaining)

🔲Break down long-term assignments (book reports, research projects) into a series of smaller steps

• 🪜(Explain the details as it relates to the students rate of learning and attention to tasks)

🔲Calculator

• 🪜(Explain how this tool helps the student when presented with tasks, activities, assignments, or assessments)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

🔲Clear beginning and end to tasks, activities, assignments, or assessments

• 🪜 (Be specific about the details and how this helps the student)

🔲Color contrast when presented with  tasks, activities, assignments, or assessments

• 🪜 (Be specific about the details and how this helps the student)

🔲Directions simplified or given in chunks for tasks, activities, assignments, or assessments

• 🪜 (Be specific about the details and how this helps the student)

🔲Directions are given in writing, verbally, or repeated back by the student.

• 🪜 (Be specific about the details and how this helps the student)

🔲Directions (multiple) on one assignment are separated or highlighted when presented to the student

🔲Descriptive video when presented with videos for tasks, activities, assignments, or assessments

• 🪜 (Be specific about the details and how this helps the student)

🔲Electronic device

• 🪜(Be specific how the electronic device supports the student in how they are presented with tasks, activities, assignments, or assessments, not entertainment)

🔲Engagement supports (fidgets, toys, if/then boards, encouragement, snacks, etc.) are utilized when tasks, activities, assignments, or assessments are presented in the school environment.(🏆Reinforcement) (🏆Visual Supports)

• 🪜(Explain how the engagement support helps the student when presented with activities and tasks)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

🔲Establish the student's attention before tasks, activities, assignments, or assessments. (🏆Pivotal Response Training)

🔲Fewer items per page or line when presented with tasks, activities, assignments, or assessments 🪜(🏆Visual Supports)

• 🪜 (Be specific about the details and how this helps the student)

🔲Goal-setting opportunities (🏆Cognitive behavioral Intervention) (🏆Self-Management)(🏆Self-Management)

• 🪜(Describe the specific supports the student needs in helping them create and work toward goals in the educational setting)

🔲Highly preferred activities/items to increase interest level🪜 (🏆Antecedent-based Intervention)(🏆Reinforcement)

🔲Individual administration of tasks, activities, assignments, or assessments

• 🪜(Describe how this helps the student in how they are presented tasks/activities/assessments)

• 🔵ACAP Summative (Testing Support Form, as an Accessibility Support)

🔲Involve the student in the development of plans

• 🪜(Describe how this helps the student in how they are presented tasks/activities/assessments)

🔲Large print text for tasks, activities, assignments, or assessments🪜

• • • • 🪜(Describe the benefits to the student and how this support is supported in the presentation of tasks, activities, assignments, or assessments).

      • 🔵ACAP Summative (Testing Support Form, as an Accommodation)

🔲Lists/Checklists provided when presented with tasks, activities, assignments, or assessments (🏆Visual Supports)

• 🪜 (Be specific about the details and how this helps the student)

🔲Magnification/Enlargement used with tasks, activities, assignments, or assessments(🏆Visual Supports)

• 🪜(Be specific in how magnification/enlargement supports the student in the presentation of tasks, activities, assignments, or assessments)

• ⭕ACAP Alternate (Testing Support Form, as an Accommodation)

🔲Manipulatives are utilized when tasks, activities, assignments, or assessments are presented to the student. (🏆Visual Supports)

• 🪜(Explain how the manipulatives support the student's concrete understanding of the task/activity presented)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

🔲Modeling-The student is provided with an imitation of the desired result of the tasks, activities, assignments, or assessments🪜(🏆Modeling) (🏆Visual Supports)

🔲Oral Presentation: Human Reader of tasks, activities, assignments, or assessments

• 🪜(Describe how this is done for the student during instruction and how it benefits them)

• 🔵ACAP Summative (*Must get ALSDE approval first using the Human Reader Request Form, then  the Testing Support Form, as an Accommodation

🔲Oral Presentation: Text-to-speech used when the student is presented with tasks, activities, assignments, or assessments

• 🪜(Describe how this is done for the student during instruction and how it benefits them)

• 🔵ACAP Summative ( Testing Support Form, as an Accommodation)

🔲Peers are available to interact with and/or help the student when tasks, activities, or assignments are presented. (🏆Peer-mediated instruction and intervention)

• 🪜 (Be specific about the details and how this helps the student)

🔲Picture Cards (🏆Visual Supports)(🏆Reinforcement)

• 🪜(Be specific in how picture cards are supporting the student in how they access the course of study/instruction)

• ⭕ACAP Alternate (Testing Support Form, as an Accommodation)

🔲Positive self-talk support🪜- Encourage the student to use positive inner dialogue with tasks, activities, assignments, or assessments (🏆Cognitive behavioral Intervention) (🏆Self-Management)

🔲Prompting (🏆Prompting)(🏆Reinforcement)

• • • • 🪜(Be specific in the type of prompting used in presenting tasks, activities, assignments, or assessments to the student)

🔲Recordings of lessons🪜(🏆Reinforcement)

🔲Refreshable Braille🪜

• 🔵ACAP Summative (Testing Support Form, as an Accommodation)(1-1 Administration)

🔲Scratch paper is offered when math computations are required in tasks, activities, assignments, or assessments. (🏆Visual Supports)

• 🪜(Explain how the student uses the scratch paper and how this improves the ability to complete tasks/activities)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

🔲Screen reader when presented with tasks, activities, assignments, or assessments🪜

🔲Scribe

• • • • 🪜(Describe how the student utilizes a scribe as tasks, activities, assignments, or assessments are presented to them)

      • 🔵ACAP Summative (Testing Support Form, as an Accommodation)

🔲Sensory tools/considerations (🏆Self-Management)(🏆Reinforcement)

• 🪜(Be specific in what the tool provides the student support)

🔲Sign Language

• 🪜(Describe how sign language is used with the student when presented with tasks, activities, assignments, or assessments) 

• ⭕ACAP Alternate (Testing Support Form, as an Accommodation) (Test Items Only)

• 🔵ACAP Summative (Testing Support Form, as an Accommodation) (Directions Only)

🔲Small group instruction of classroom tasks, activities, assignments, or assessments

• 🪜(Describe how this helps the student in how they are presented tasks/activities/assessments)

• 🔵ACAP Summative (Testing Support Form, as an Accessibility Support)

🔲Tactile graphics when presented with tasks, activities, assignments, or assessments🪜

🔲Tactile manipulatives when presented with tasks, activities, assignments, or assessments🪜

🔲Talking Calculator 

• 🪜(Explain how this is used in the presentation of activities)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

🔲Text-to-Speech

• 🪜(Explain how this is used in the presentation of activities)

• ⭕ACAP Alternate (Testing Support Form, as an Accommodation)

• 🔵ACAP Alternate (Testing Support Form, as an Accommodation, requires approval)

🔲Thought trap support🪜- Help them recognize unhelpful thoughts in tasks, activities, assignments, or assessments that are presented to them (🏆Cognitive behavioral Intervention) (🏆Self-Management)

🔲Use brief and clear instructions when presenting tasks, activities, assignments, or assessments. (🏆Pivotal Response Training)

🔲Verbal instruction in a written format for tasks, activities, assignments, or assessments🪜(🏆Visual Supports)

🔲Visual Supports (🏆Visual Supports)(🏆Reinforcement)

• 🪜(Explain how visual supports help the student in the presentation of tasks, activities, assignments, or assessments)

🔲Written/Typed notes provided before instruction🪜(🏆Visual Supports)(🏆Reinforcement)

🔲Other ________________________________________________________________________________________

• 🪜(Describe how this accommodation/support helps the student in the presentation of tasks, activities, assignments, or assessments)

• ⭕ACAP Alternate (Submit a Special Request Form for this to be considered by ALSDE, then fill out the Testing Support Form with this being an Accommodation)

• 🔵ACAP Summative (Submit a Special Request Form for this to be considered by ALSDE, then fill out the Testing Support Form with this being an Accommodation)

🔲Abacus provided with tasks, activities, assignments, or assessments that require keeping track of numbers.🪜

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

🔲Abacus provided with tasks, activities, assignments, or assessments that require basic mathematical operations.🪜

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

🔲Assistive Technology

• 🪜(Explain how the AT helps the student show their knowledge or respond in the school environment)

• ⭕ACAP Alternate (Testing Support Form, as an Accommodation)

🔲Braille🪜

• ⭕ACAP Alternate (Fill out the Testing Support Form with this being an Accommodation) (Paper)

• 🔵ACAP Summative (Testing Support Form, as an Accommodation)(Paper)

🔲Calculator

• 🪜(Explain how this supports the student in their response to instructional tasks/activities)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

🔲Capture responses on an audio recorder🪜

🔲Choice-making in how tasks, activities, assignments, or assessments are completed, turned in, or demonstrating learned skill🪜(🏆Antecedent-based Intervention)

🔲Electronic device

• 🪜(Be specific how the electronic device supports the student in their response to instructional tasks, activities, assignments, or assessments, not entertainment)

🔲Engagement supports (fidgets, toys, if/then boards, encouragement, snacks, etc.) are utilized when tasks, activities, assignments, or assessments are presented in the school environment(🏆Reinforcement)

• 🪜(Explain how the engagement support helps the student respond to activities and tasks)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

🔲Dictate answers to a scribe who writes or types🪜

🔲Digital dictionary🪜

🔲Highly preferred activities/items to increase the behavior of the student responding to non-preferred tasks, activities, assignments, or assessments🪜 (🏆Antecedent-based Intervention)(🏆Reinforcement)

🔲Individual administration of classroom tasks, activities, assignments, or assessments

• 🪜(Describe how this helps the student in how they respond to tasks, activities, assignments, or assessments)

• 🔵ACAP Summative (Testing Support Form, as an Accessibility Support)

🔲Magnification/Enlargement (🏆Visual Supports)

• 🪜(Be specific in how magnification/enlargement supports the student in responding to tasks, activities, assignments, or assessments)

🔲Manipulatives are utilized when the student responds to a task/activity.

• 🪜(Explain how the manipulatives support the student in showing their learning and or their response to the tasks, activities, assignments, or assessments)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

🔲Outline of the lesson/lecture provided before instruction(🏆Visual Support)

🔲Peers are available to interact with and/or help the student when tasks, activities, or assignments are presented. (🏆Peer-mediated instruction and intervention)

🔲Picture Cards (Visual Support)

• 🪜(Be specific in how picture cards help the student in their response within tasks, activities, assignments, or assessments)

• ⭕ACAP Alternate (Testing Support Form, as an Accommodation)

🔲Positive self-talk support (🏆Cognitive behavioral Intervention) (Self-Management)

• 🪜(Explain how the student needs to be encouraged to use positive inner dialogue when responding to tasks, activities, assignments, or assessments

🔲Prompting (🏆Prompting)(🏆Reinforcement)

• 🪜(Be specific in the type of prompting used in promoting a response from the student)

🔲Recordings of lessons(🏆Reinforcement)

• 🪜(Explain how having specific tasks recorded helps the student in responding to tasks, activities, or assignments

🔲Scribe

• 🪜(Describe how the student utilizes a scribe as they are responding to tasks, activities, assignments, or assessments assigned to them)

• 🔵ACAP Summative (Testing Support Form, as an Accommodation)

🔲Self-Monitoring (🏆Cognitive behavioral Intervention) (🏆Self-Management)

• 🪜(Explain how the student benefits from support in monitoring their progress on tasks, activities, assignments, or assessments)

🔲Sensory tools/considerations (🏆Reinforcement)

• 🪜(Be specific in what the tool provides the student support)(Refer to Sensory Resource)

🔲Sign Language

• 🪜(Describe how sign language is used with the student when responding to tasks, activities, assignments, or assessments) 

🔲Small group instruction of classroom tasks/activities/assessments

• 🪜(Describe how this helps the student in how they respond to tasks, activities, assignments, or assessments)

• 🔵ACAP Summative (Testing Support Form, as an Accessibility Support)

• )

🔲Speech to text when responding to tasks, activities, assignments, or assessments🪜

🔲Spelling dictionary 🪜

🔲Tactile graphics when responding to tasks, activities, assignments, or assessments🪜

🔲Tactile manipulatives when responding to tasks, activities, assignments, or assessments🪜

🔲Talking Calculator

• 🪜(Explain how this is used in the presentation of tasks, activities, assignments, or assessments)

• ⭕ACAP Alternate (Testing Support Form, as an Accessibility Support)

🔲Thought trap support🪜- Help the student recognize unhelpful thoughts in completing/delivering tasks, activities, assignments, or assessments (🏆Cognitive behavioral Intervention) 

🔲Verbal instruction in a written format🪜(🏆Visual Supports)

🔲Visual Supports (🏆Visual Supports)(🏆Reinforcement)

• 🪜(Explain how visual supports help the student in their response to tasks, activities, assignments, or assessments)

🔲Written/Typed notes of the lesson/lecture provided before instruction🪜

🔲Other ________________________________________________________________________________________

• 🪜(Describe how this accommodation/support helps the student in response to tasks, activities, assignments, or assessments)

• ⭕ACAP Alternate (Submit a Special Request Form for this to be considered by ALSDE, then fill out the Testing Support Form with this being an Accommodation)

• 🔵ACAP Summative (Submit a Special Request Form for this to be considered by ALSDE, then fill out the Testing Support Form with this being an Accommodation)