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Section504AccommodationPlan

AnnualReviewTeacherFeedback

Teacher:__________________________________Subject:____________________________________Date:_____________________________

TheSection504AnnualReviewfor_____________________________isscheduledfor____________________.Pleaseprovidefeedbackregardingthestudents
currentperformanceandtheuseofaccommodationsinyourclassroom.Pleaseanswerthequestionsfor
each
accommodation.Thankyouinadvanceforyourtime!

ExistingAccommodation:

Doesthestudent
usethis
accommodationin
yourclassroom?

Howfrequentlydoesthe
studentusethis
accommodation?(Never,
Onceaweek,Daily,etc.)

Howdoyouimplementthe
accommodationinyourclassroom?

Yes

No

012345

Yes

No

012345

Yes

No

012345

Yes

No

012345

Istheaccommodation
helpfulforthestudents
success?

0=Nothelpful,5=Veryhelpful

StudentsGrades:

GradeSummaryAttachedORStudentsCurrentGradeis:_________________

Family/Homecontact(ifany):

Suggestionsforadditionalaccommodations?

Arethereanyotherconcernsthatyouwouldliketobediscussedattheannualreview?

NothelpfulVeryhelpful

NothelpfulVeryhelpful

NothelpfulVeryhelpful

NothelpfulVeryhelpful

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