Student Information

Student Name: ________________________________ Grade/Class: _________________

School Year: _________________ Updated on: _________________

Instructions

  1. List each accommodation from your child's IEP/504 Plan in the left column
  2. Track implementation across different settings (Gen Ed, Special Ed, Testing, etc.)
  3. Note effectiveness, consistency, and student comfort with each accommodation
  4. Bring this tracker to IEP/504 meetings to guide accommodation discussions

ACCOMMODATION IMPLEMENTATION TRACKING

Accommodation Documented Need Connection Setting Frequency of Use Effectiveness Rating Teacher Notes/Comments Student Feedback
Example: Extended time (50%) on assignments Processing speed deficit documented in psychoeducational evaluation dated 10/15/2023 Math class Daily (10/1-10/5) 4/5 Student completed 90% of assignments when accommodation provided Helpful, reduces anxiety

EFFECTIVENESS RATING SCALE

5 = Extremely effective (significant improvement in performance/participation)

4 = Very effective (noticeable improvement)

3 = Moderately effective (some improvement)

2 = Slightly effective (minimal improvement)

1 = Not effective (no observable improvement)

N/A = Not applicable or not used during this period