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Section 504 teacher input form

504 teacher input form 2026

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4.8 out of 5

85 votes

The document is a teacher input form designed to assess a student's performance in various areas such as assignment completion, peer relationships, and classroom behavior. It includes a rating scale for different aspects of the student's academic and social performance, requests information on accommodations made for the student, and invites comments on any academic concerns. The form aims to provide a comprehensive overview of the student's overall performance and specific issues that may need addressing.

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Click ‘Get Form’ to open the 504 teacher input form in the editor.
Begin by entering the student's name, date of birth, and sex at the top of the form. This information is crucial for identifying the student.
Evaluate the student's classroom performance using the provided scale (1= No Problem; 2= Mild Problem; 3= Severe Problem). Fill in each category such as 'Turns in assignments on time' and 'Peer relationships' with your assessment.
Indicate the current grades the student is earning in the designated section. This provides context for their academic standing.
Answer whether the student is in an ability-grouped class and provide a brief description if applicable.
List any accommodations you have made for this student to support their learning needs.
Describe any academic concerns you have regarding this student, ensuring to provide specific examples.
In the summary section, give your overall impression of the student's performance and clarify any academic or behavioral concerns.
Finally, sign off by entering your name and date at the bottom of the form before submitting it.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (85 Votes)

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