Typical Public Schools
Student: Tony
Brennan Date: April 4, 2005 Birth date: June 17, 1996
Address: 455
Jefferson St., Typical, MI 48801
Parent/Guardian:
Marsha and Walter Brennan
School: Typical
Public Schools Phone: 555-6792
Mr. Thomas Mate- school principal
Mr. Adam Stefanski- special education teacher
Ms. Audra Reynolds- general education teacher
Ms. Anne McGeathy- parent
Documentation of disability and evaluation method: (Attach documentation e.g. student review conference, medical report)
Attached on back.
Educational accommodations: (Attach plans as appropriate e.g. health plan, behavior plan, etc.)
Attached on back
Ö
Parents were
given a copy of “understanding 504 plans”
Annual Follow-Up: (Documentation of Parent Conract)
The
educational team has reviewed and Principal signature (please note
type of parent contact)
received
this plan. (All team members
initial
and date annually)
2005. School Year ____________________ ______________________ Date: 4-4-05
____ School
Year _____________________
______________________ Date:______
____ School
Year _____________________
_______________________ Date: _____
During the 3rd
year, the plan is redrafted after a reevaluation has determined continued
eligibility. This plan will remain in
affect until a parent, teacher, or principal requests a meeting to change this
plan.
Based on the scores of the Brigance and WISC-IV tests given
to Tony (see attached documents), it is the determination of the school
district that Tony is not eligible for special education services. He will instead be considered socially
maladjusted and will be given the appropriate accommodations as set up in a
Section 504 Plan.
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Brigance Information- |
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Assessment Component |
Component: |
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Grade |
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Competency |
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Reading Comprehension, Form A F-2g (S-150) |
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Upper
3rd |
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He was able to answer items 31-34 |
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correctly. He was not able to answer |
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item 35. He could go no further |
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Math Problem Solving form B, M-2 (S-332) |
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4th |
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He was able to correctly complete the |
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items through 7. He missed item 8. |
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Number Recognition- form N-1 (S-336) |
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3rd |
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He was able to complete group 4 with |
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100% accuracy. |
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Word Recognition- Form A (S-114) |
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3rd |
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He correcctly identified the following |
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words: cast, avenue, shelter and |
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ordinary. He missed adjust, |
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confidence, equipment, generation, |
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furnace and reluctant. |
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Math Computation-Form A (S-326) |
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3rd |
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He completed all items correctly |
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through 11. He was unable to |
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continue past 11. |
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Standard
Score |
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Standard
Score |
Percentile |
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Mathematic Applications |
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82 |
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82 |
80 |
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Reading Decoding |
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90 |
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90 |
84 |
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Reading Comprehension |
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88 |
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88 |
81 |
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Math Computation |
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80 |
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80 |
76 |
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Reading Composite |
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85 |
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85 |
79 |
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Mathematics Composite |
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84 |
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84 |
78 |
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Tony's overall reading skills fell in the range
considered to be in the average |
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range, but were consistent with his educational
expectancy as determined by |
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the WISC-IV. |
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Section 504 Plan for
_______________
Tony Brennan is an 8 year-old boy who
is new to the Typical School District this year. He is currently in the third
grade; however, Tony is socially maladjusted and has had recent problems
appropriately responding to others, both in and out of the classroom. Tony is
currently at or above the standard competency for reading comprehension, math
problem solving, number recognition, word recognition, and math computation at
the third grade level according to the Brigance Inventory of Basic Skills.
Tony has only been in the Typical School District
for four weeks. At first he was very reserved and showed no major signs of
misbehavior. Recently however, Tony had been disrupting the classroom
consistently and intentionally tried to start fights with other students, while
even going to the extreme of kicking another student in the head. School
administrators have tried numerous times to contact his mother and father but
have been unsuccessful. Tony recently revealed to school personnel that he is
no longer living with his parents and is currently living with his aunt, uncle,
and three cousins. Tony was recently found guilty of stealing money from the
purse of a classmate. Upon searching his locker for the stolen money, a hunting
knife was found. Because of school and state-wide policy, the decision has been
made to suspend Tony from school grounds for 180 days.
Section 504 Plan for Tony Brennan
Plan
Tony Brennan has been expelled from
Typical Public Schools and will be unable to attend classes in any school
building. The district will instead
hire a paraprofessional to instruct Tony on lessons developed by his general
education teacher. Tony will be required to meet with this paraprofessional
three times a week, Monday, Wednesday, and Friday, between the hours of 9 a.m.
and 12 p.m. at the public library. In addition to Tony’s meeting with the
paraprofessional, Tony will also meet once a week with the school social worker
for at least a half hour at a location to be determined by the social worker
and Tony’s guardian. The school
district will provide texts for Tony’s instruction in Mathematics, Science,
Social Studies, and Language Arts. Tony
will also be actively involved in the development of a behavior intervention
plan so as to better prepare Tony for reentrance into the general education
population.
Several goals have been set for Tony Brennan that are to be successfully met at the end of his expulsion, the end of the 2004/2005 academic year. One of these goals is for Tony to have learned and applied a new understanding of the types of behaviors that are appropriate for a classroom setting and in the presence of an authority figure. In order to meet this goal, Tony will be involved in the adaptation and implementation of a behavior intervention plan. Tony will also be continuing his general education curriculum throughout the time he is expelled from Typical Public Schools. This continuance of his education will ensure that when he returns the following year he has not fallen behind the rest of his class and his test scores have stayed consistent or improved. We also hope to be able to fully integrate Tony back into the general school population, without incident, at the beginning of the 2005/2006 school year. It has been recommended that during the time he is absent from a normal school setting he participate in a recreational sporting team or other group activity that is of interest to him. These activities are to be done outside of those that the school provides. This will allow for his continued growth in his skills of relating with others in a social setting, such as school or a team activity. The area of social relations is one which we all feel Tony needs to work to improve so things like this do not happen in the future. It is also suggested that Tony work with the school psychologist to work through some of anger and home related problems which may have fueled these activities. Each of these goals are to be met by the conclusion of the 2004/2005 school year in hopes that Tony will be fully prepared and excited about rejoining the other students at the beginning of the next academic year.