• AT Assessment

    Student, Settings, Tasks & Observation Notes
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  • Areas of concern

    Select 'yes' for all areas the team wants to assess for potential use of assistive technology.

  • Student Areas of Concern Details

    Skip any items that do not apply
    • Communication (skip any items that do not apply) 
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    • Device Access (skip any items that do not apply) 
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    • Executive Function (skip any items that do not apply) 
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    • Hearing (skip any items that do not apply) 

    • Unaided Hearing

      Check all areas of concern
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    • Math (skip any items that do not apply) 
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    • Reading (skip any items that do not apply) 
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    • Seating/Positioning (skip any items that do not apply) 
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    • Sensory (skip any items that do not apply) 

    • Identify areas where the student experiences hypersensitivity (over-sensitive) or hyposensitivity (under-sensitive).

      Describe specific response as needed.
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    • Vision (skip any items that do not apply) 
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    • Writing (skip any items that do not apply) 
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  • Setting Characteristics

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  • Student Tasks

    For each designated setting, list specific tasks the student is required to complete considering each area of concern (i.e., communication, reading, writing), barriers preventing student from meeting expectations, and any current supports, including accommodations/modifications in place.
    • English Language Arts 
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    • Math 
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    • Science 
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    • Social Studies 
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    • Physical Education 
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    • Foreign Language 
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    • Art 
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    • Music 
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    • Other Specials 
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    • Hallways 
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    • Playground 
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    • Cafeteria 
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    • Auditorium 
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    • Home 
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    • Community 
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    • Other 
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  • Student & Parent Input Forms

    Download and share input forms to gather important information from both the student and parents/guardians. If the student is not able to provide responses independently, a team member can work with them.

  • Access and download fillable PDF forms to print or email to the student and parents/guardians. Parent input form is available in both English and Spanish.

    Download Student & Parent Input Forms

  • Observation Notes

    Specify the required settings forobservation and assign each to team members for completion.
    • Setting 1 
    • Setting 2 
    • Setting 3 
    • Setting 4 
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    • Should be Empty: