Level of Support Needed

Level of support needed

Grade level: ______

Subject area: ______

Code / Level
of support / Description
T / Transitional / The amount of support (low, medium, high) is provided temporarily to assist a student in gaining independence
in new environments, activities and/or acquisition of new concepts.
L / Low / This support is always available but not needed on a regular basis by the student. The student would be able
to function in the environment without the support, just not as successfully.
M / Medium / This support is necessary on a regular basis in order for the student to be successful or to learn in the environment.
H / High / This support is absolutely necessary for the student to learn and must be provided consistently. The student could
not function in the environment without the support.
Student name / Disability / Gender
(M/F) / Behavior support / Academic support
1. 
2. 
3. 
4. 
5. 
6. 
7. 
8. 
9. 
Student name / Disability / Gender (M/F) / Behavior support / Academic support
10. 
11. 
12. 
13. 
14. 
15. 
16. 
17. 
18. 
19. 
20. 
21. 
22. 
23. 
Student name / Disability / Gender (M/F) / Behavior support / Academic support
24. 
25. 
26. 
27. 
28. 
29. 
30. 
31. 
32. 
33. 
34. 
35. 

11/2004