(M/D/YYYY) / OAKLAND SCHOOLS TECHNICAL CAMPUS (OSTC)
Summary for Student with an IEP / Today’s Date:
(M/D/YYYY)
NE NW SE SW / Cluster: Please Select Drop DownBiotechnology and Environmental ScienceConstruction TechnologyCulinary Arts/HospitalityEngineering/Emerging TechnologiesHealth SciencesHuman Services: CosmetologyiTeam (Formerly BMMT)Transportation TechnologyVisual Imaging Technology / H.S.:
Student Name: / Grade (next year): Select10111213+ / Session: SelectAMPM
Area of Eligibility:
SLD (Specific Learning Disability)Written Expression / Basic Reading Skill / Math Calculation
Oral Expression / Reading Fluency Skills / Math Problem Solving (Reasoning)
Listening Comprehension / Reading Comprehension
Emotional Impairment / Speech & Language Impairment / Autism Spectrum Disorder
Cognitive Impairment / Physical Impairment / English Language Learner
Hearing Impairment / Visual Impairment / Other Health Impairment:
Accommodations Required in Student IEP:
Take test in small group / Use of word processor / Offsite access to textbookTake test in alternate setting / Use of audio books / Large print/alternate formats
Have test read/audio format / Use of recording device / Copy of class notes
Have student give test answers orally / Use of calculator / BIP - Behavior Intervention Plan (attach)
Record test answers for student / Digital equipment/electronics: / Other:
Extended time on assignments: Select1.5x2x3xOther
If Other, Explain: / Extended time on tests and quizzes: Select1.5x2x3xOther
If Other, Explain: / Extended time on standardized tests: Select1.5x2x3x
If Other, Explain:
Areas of Strength:
Positive attitude / Works to ability / Self-directed/motivatedLeadership qualities / Works independently / Seeks help when needed
Completes work / Works well with others / Shows self-control
Keeps track of assignments / Accepts redirection/correction / Accepts responsibility for behavior
Other:
Areas of Concern/Difficulties:
Impulsive / Attention seeking / Disorganized / Incomplete assignmentsDistractible / Appears unmotivated / Comes to class unprepared / Poor test scores
Short attention span / Lacks self confidence / Missing homework / Excessive absences/tardiness
Other:
Current Support Services:
School Social Work / Speech/Language / Occupational Therapy / Physical Therapy / Other:Contact Information:
Completed by: / Title: / Transition Coord:Phone #: / Phone #:
Email: / Email:
Oakland Schools does not discriminate on the basis of sex, race, color, national origin, religion, height, weight, marital status, sexual orientation (subject to the limits of applicable law), age, genetic information, or disability in its programs, services, activities or employment opportunities. Inquiries related to employment discrimination should be directed to the Director of Human Resources at 248.209.2059, 2111 Pontiac Lake Road, Waterford, MI 48328-2736. For all other inquiries related to discrimination, contact the Director of Legal Affairs at 248.209.2062, 2111 Pontiac Lake Road, Waterford, MI 48328-2736.
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