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Ensuring that every student has access to education tailored to their unique needs forms the cornerstone of inclusive teaching. Central to this mission is the School 504 Plan, a critical document that emerges from the intersection of educational policy, disability rights, and personal advocacy within the Palm Beach County School District. This plan serves as a written commitment from schools to provide the necessary accommodations and services enabling students with disabilities to participate fully in their educational programs. By asking key questions about the presence of a disabling condition that significantly affects major life activities, the existence of documentation verifying the disability, and the need for specific educational accommodations or aids, the 504 Plan outlines a clear path for eligibility and support. Accommodations may range widely, encompassing instructional assistance, assistive technologies, support services, and modifications to educational settings and testing formats, ensuring that education is accessible and equitable. The collaborative nature of the plan is underscored by the requirement for signatures from the student (if applicable), a local education agency representative, instructors, and parents or guardians, marking a united effort to support the student’s educational journey. This document, formally recognized and updated as of January 15, 2014, stands as a testament to the ongoing efforts within Palm Beach County schools to adapt and respond to the diverse needs of their student population, ensuring that every child is prepared for success not just in school, but in life.

Preview - School 504 Form

THE SCHOOL DISTRICT OF PALM BEACH COUNTY

DEPARTMENT OF ADULT AND COMMUNITY EDUCATION

Section 504 School Site Accommodation Plan

Name:

 

 

 

 

 

 

Date:

 

Student ID#:

 

 

Date of Birth:

 

 

School:

 

 

 

 

Program:

 

 

 

 

 

Instructor:

 

 

 

 

Yes

No

1. Does the student have a physical or mental impairment which substantially limits a major

 

 

 

 

life activity? If YES, describe the limitation(s).

 

 

 

 

 

Yes

No

2. Is written verification of the disability on file? If YES to questions 1 and 2, student meets

 

Section 504 eligibility criteria.

Yes

No

3. Does the student's disability require any instructional accommodations and/or related

 

aids and services in order for the student to benefit from his/her educational experience?

The student's specific needs are:

The following accommodations/strategies may be implemented to meet the student's needs:

 

Instructional

 

Assistive Technology con't

 

Support Services

 

 

Oral reading of text

 

 

Calculator

 

 

Interpreter (hearing impaired/deaf)

 

 

Alternative text (taped,

 

 

Headphones

 

 

Note taker

 

 

large print, Braille)

 

 

Furniture adaptations

 

 

Peer buddy

 

 

 

 

 

 

 

 

 

Video, etc.

 

 

Computer devices/software

 

 

Volunteer/mentor

 

 

Tutoring

 

 

Closed captioning

 

 

Other

 

 

Study skills

 

 

Other

 

 

 

 

 

 

Test taking strategies

 

 

 

 

Miscellaneous

 

 

Flexible setting

 

Testing

 

 

State exam assistance

 

 

Preferential seating

 

 

Flexible scheduling

 

 

Agency referral

 

 

Extended program time

 

 

Oral testing

 

 

Counseling

 

 

Other

 

 

Additional time

 

 

Behavior/attendance contract

 

 

 

 

 

Reader

 

 

Time Management

 

Assistive Technology

 

 

Audio version

 

 

Other

 

 

Tape recorder

 

 

Revised format

 

 

 

 

 

 

Electronic speller

 

 

Flexible response recording

 

 

 

 

 

 

Magnifier

 

 

Other

 

 

 

 

 

Other accommodations/strategies:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signatures of Plan Participants:

Signature of Student

 

 

Date

 

 

Signature of LEA Representative

Date

 

 

 

 

 

 

 

 

 

Signature of Instructor

 

 

Date

 

 

Signature of Parent/Guardian (if applicable)

Date

 

 

 

 

 

 

 

 

 

Signature of Data Processor

 

 

Date

 

 

 

 

 

PBSD 2405 (New: 1/15/2014)

ORIGINAL - ESE Folder

COPY - Fax to Department of Adult and Community Ed 561-649-6028

Form Data

Fact Description
Governing Body The School District of Palm Beach County, Department of Adult and Community Education
Document Purpose Section 504 School Site Accommodation Plan
Eligibility Criteria Student must have a physical or mental impairment that substantially limits one or more major life activities
Verification Requirement Written verification of the disability must be on file for Section 504 eligibility
Accommodations and Aids Plan details if the student's disability requires instructional accommodations and/or related aids and services
Examples of Accommodations Includes instructional assistance, assistive technology, support services, and testing strategies among others
Approval Process Signatures required from the student, LEA representative, instructor, parent/guardian (if applicable), and data processor
Document Reference Number PBSD 2405 (New: 1/15/2014)

Instructions on Utilizing School 504

Once you have determined that a student may need a School 504 Accommodation Plan, getting through the actual paperwork can feel like a daunting step. However, this plan is crucial for ensuring that students with disabilities receive the necessary modifications to their educational environment, allowing them to access the same quality of education as their peers. Preparing the School 504 form might seem complex at first glance, but breaking it down into simple, actionable steps can streamline the process.

To complete the School 504 form for the School District of Palm Beach County Department of Adult and Community Education, follow these steps:

  1. Enter the Name of the student requiring accommodations.
  2. Fill in the Date on which the form is being filled out.
  3. Provide the Student ID# as assigned by the school district.
  4. Record the student’s Date of Birth.
  5. Specify the School the student is attending.
  6. Indicate the Program in which the student is enrolled.
  7. Enter the name of the Instructor.
  8. Answer Yes or No to whether the student has a physical or mental impairment that substantially limits a major life activity. If Yes, describe the limitation(s).
  9. State if written verification of the disability is on file by selecting Yes or No. For the student to meet Section 504 eligibility criteria, responses to both questions 1 and 2 must be Yes.
  10. Confirm whether the student’s disability requires instructional accommodations and/or related aids and services by selecting Yes or No. If Yes, list the specific needs of the student.
  11. Detail the accommodations, strategies, or assistive technology needed, including but not limited to oral reading of text, alternative text formats, furniture adaptations, video aids, computer devices/software, study skills, test-taking strategies, and time management tools.
  12. Under ‘Signatures of Plan Participants,’ obtain and record the following signatures and dates:
    • Signature of Student
    • Signature of LEA Representative
    • Signature of Instructor
    • Signature of Parent/Guardian (if applicable)
    • Signature of Data Processor
  13. Ensure a copy of the completed form is placed in the ESE Folder and the original document is faxed to the Department of Adult and Community Education at 561-649-6028.

After the form is correctly filled out and all necessary signatures are gathered, the student's accommodation plan will take effect. This plan plays a pivotal role in bridging educational gaps and fostering an inclusive learning environment that acknowledges and respects every student's unique needs.

Obtain Answers on School 504

  1. What is a Section 504 School Site Accommodation Plan?

    A Section 504 School Site Accommodation Plan is a document developed to ensure that a student with a disability identified under the law receives accommodations that will ensure their academic success and access to the learning environment. It addresses the nature of the student's disability and the accommodations necessary to provide them an equal opportunity to succeed in their educational program.

  2. Who is eligible for a Section 504 Accommodation Plan?

    Eligibility for a Section 504 Accommodation Plan requires that a student have a physical or mental impairment that substantially limits one or more major life activities. This eligibility is determined if there is written verification of the disability on file and if the student's disability necessitates instructional accommodations or related aids for them to benefit from their educational experience.

  3. What types of accommodations are available through a Section 504 Plan?

    Accommodations may include, but are not limited to, instructional support (e.g., oral reading of text, alternative text, tutoring, study skills instruction), assistive technology (e.g., calculators, computers, audio versions of text), support services (e.g., note takers, interpreters for the deaf), testing adjustments (e.g., extended time, flexible setting, oral testing), and various other strategies tailored to meet the student's needs.

  4. How is a Section 504 Plan developed?

    The plan is developed by a team that includes the student, parents or guardians (if applicable), the student’s instructors, and a representative from the local education agency (LEA). Input from all parties ensures the plan addresses the student's specific educational needs.

  5. Is written verification of the disability required for a Section 504 Plan?

    Yes, written verification of the disability is required to be on file for a student to be eligible for a Section 504 Plan. This documentation helps confirm the student's need for accommodations and supports the development of an appropriate action plan.

  6. Can a student's 504 Plan include accommodations for state exams?

    Yes, a student's 504 Plan can include accommodations for state exams. These accommodations may consist of, but are not limited to, flexible scheduling, extended time, oral testing, and preferential seating to ensure that the student has the necessary support to perform their best on state exams.

  7. What is the process for reviewing a student's 504 Plan?

    The 504 Plan should be reviewed annually to determine if the accommodations are still appropriate or need to be adjusted. The review process allows the team to assess the student's progress and make any necessary changes to support their continued education success.

  8. Who signs the Section 504 Accommodation Plan?

    The Section 504 Accommodation Plan is signed by the student, a LEA representative, the instructor, the parent/guardian if applicable, and the data processor. These signatures verify that all parties are aware of, and agree to, the accommodations laid out in the plan.

  9. Where should the original Section 504 Accommodation Plan be kept?

    The original Section 504 Accommodation Plan should be kept in the student's Educational Service (ESE) Folder. A copy can be faxed to the Department of Adult and Community Education for their records and additional support.

  10. Can a Section 504 Plan be revised?

    A Section 504 Plan can be revised if it is determined that the student's needs have changed or if the current plan is not effectively supporting the student's educational experience. Revisions can be made anytime throughout the year with the agreement of the 504 Plan team.

Common mistakes

Filling out the Section 504 School Site Accommodation Plan is a crucial step in ensuring that students with disabilities receive the support and accommodations they need to thrive in the educational environment. However, during this process, several common mistakes are often made:

  1. Not providing detailed descriptions of the student's limitations: Simply answering "Yes" to the question about whether the student has a physical or mental impairment is not sufficient. It is essential to thoroughly describe how the impairment substantially limits major life activities.

  2. Failure to verify the disability: The form specifically asks if written verification of the disability is on file. Overlooking the importance of providing this documentation can result in the student not meeting the necessary eligibility criteria for receiving accommodations.

  3. Omitting specific needs of the student: The form requires details on the student’s specific needs. A generic list of accommodations without tying them directly to the student's unique needs does not provide a clear action plan for support.

  4. Not leveraging all applicable accommodations: The list of instructional accommodations, assistive technology, and support services is extensive, yet often, not all possible aids are considered. This oversight can lead to missed opportunities for addressing the student's comprehensive needs.

  5. Skipping participant signatures: Each participant, including the student (when appropriate), LEA representative, instructor, and parent or guardian, plays a vital role in the plan's implementation. Neglecting to collect all necessary signatures can lead to a lack of accountability and enforceability of the plan.

  6. Inadequate follow-up: Once the form is filled out and submitted, continuous monitoring and adjustment of accommodations are necessary to ensure they are effectively meeting the student’s needs. Failing to regularly review and update the plan can result in accommodations that are no longer appropriate or sufficient.

Addressing these common mistakes is essential for the creation of an effective 504 plan that fully supports the educational development of students with disabilities.

Documents used along the form

When navigating through the educational landscape for students who need additional support, the School 504 Plan is a critical document. However, to ensure a comprehensive support system, several other forms and documents often accompany the School 504 Plan. These documents play a vital role in assembling a full picture of the student's needs and the accommodations required to address these needs effectively. Here is a list of documents that are frequently used alongside the School 504 Plan:

  • Individualized Education Program (IEP) Plan: An IEP Plan is designed for students who qualify for special education services under the Individuals with Disabilities Education Act (IDEA). It includes specific educational goals, specialized instructions, and necessary accommodations.
  • Medical Documentation: This includes doctor's notes, psychological evaluations, and other medical records that provide evidence of the student's condition and how it impacts their learning or school life.
  • Teacher Observation Notes: Notes or reports from teachers and school staff that detail observations of the student's performance, behavior, and how they are affected by their condition within the school environment.
  • Behavioral Assessment Reports: For students whose conditions affect their behavior, these reports outline specific incidents, triggers, and recommend strategies for managing behavior effectively.
  • Progress Monitoring Reports: These documents track the student's academic performance and assess the effectiveness of accommodations and interventions included in their 504 Plan.
  • Parent/Guardian Input Forms: Forms that capture input and concerns from parents or guardians regarding their child's needs and how their condition affects their educational experience.
  • Emergency Care Plans: For students with medical conditions, an emergency care plan outlines critical steps and information needed in case of a health emergency at school.
  • Accommodation Request Forms: These forms are used to request additional accommodations or modifications to existing ones based on the student's evolving needs.
  • Consent Forms for Release of Information: Consent forms are necessary when sharing the student's information with outside specialists, agencies, or when seeking an external evaluation.

Together, these documents provide a solid foundation for supporting students with disabilities, ensuring they receive a fair and accessible education. It's the collaboration between students, parents, and educators, facilitated through these documents, that paves the way for successful educational outcomes.

Similar forms

  • Individualized Education Program (IEP) Plan: Similar to the School 504 form, an IEP Plan provides tailored educational instructions and accommodations based on a student's unique needs, primarily focusing on students with disabilities that impact their learning in a more significant manner. Both documents aim to offer support to ensure students can fully participate in their education.

  • Medical Action Plan: Often used by schools to address the specific health needs of students with medical conditions, a Medical Action Plan outlines procedures and accommodations similar to how a School 504 form might detail instructional or environmental adjustments for a student's disability.

  • Job Accommodation Network (JAN) Plan: Although it serves adults in the workplace, the JAN Plan is akin to the School 504 form in its purpose of identifying accommodations for individuals with disabilities to perform their job effectively, paralleling the educational focus of the 504 Plan.

  • Americans with Disabilities Act (ADA) Plan: ADA plans provide accommodations for individuals with disabilities within various environments, including educational settings, making them somewhat comparable to the School 504 plan's educational focus but within a broader scope of application.

  • Individualized Health Care Plan: Schools use these plans to manage students’ health care needs during school hours. Similar to the 504 plan, they document accommodations or modifications needed, though with a specific focus on health-related issues.

  • Special Education Local Plan Area (SELPA) Plan: This document outlines the special education policies, procedures, and programs offered within a local educational agency, similar to a 504 Plan's aim of accommodating students' educational challenges due to their disabilities, but SELPA has a broader policy scope.

  • Transition Plan: As part of the IEP process for older students, Transition Plans focus on post-secondary goals and accommodations, resembling the School 504 plan’s role in ensuring that a student's disability does not impede educational success and future planning.

  • Student Success Plan: These plans support students at risk of not meeting academic expectations, similar to the 504 Plan's focus on providing the necessary adjustments for students with disabilities to succeed.

  • Emergency Response Plan: Tailored for individuals with disabilities, these plans outline specific responses during emergencies, somewhat similar to a 504 Plan's objective of ensuring safety and accommodation in day-to-day and exceptional circumstances.

  • Behavior Intervention Plan: Typically used for students whose behaviors impact their learning, these plans are similar to the School 504 form as they provide strategies and accommodations to help the student succeed academically, although specifically through behavioral adjustments.

Dos and Don'ts

When it comes to filling out the School District of Palm Beach County Department of Adult and Community Education Section 504 School Site Accommodation Plan, it’s essential to approach the task with diligence and careful attention to detail. To guide you through this process, here is a list of dos and don'ts that can help ensure the form is completed accurately and effectively.

  • Do: Thoroughly document the student's physical or mental impairment that substantially limits a major life activity, providing clear descriptions and examples.
  • Do: Ensure written verification of the disability is on file and accessible, as this is a key component of establishing eligibility under Section 504.
  • Do: Clearly identify and list all required instructional accommodations and/or related aids and services the student needs to benefit from his/her educational experience.
  • Do: Engage in discussions with educators, the student, and if applicable, the student's parents or guardians, to make sure the accommodations/strategies are tailored to the student's specific needs.
  • Do not: Rush through the process. Take the necessary time to consider all areas in which the student may require support, including instructional assistance, assistive technology, support services, and testing accommodations.
  • Do not: Overlook the need for signatures from all plan participants, including the student (if applicable), the LEA representative, the instructor, the parent/guardian, and the data processor. These signatures are crucial for the plan’s implementation and validity.
  • Do not: Ignore the importance of reviewing and understanding the available accommodation options listed on the form, such as assistive technology, alternative text formats, and flexible testing strategies.
  • Do not: Forget to keep a copy of the completed form for your records and to fax a copy to the Department of Adult and Community Education as indicated. Timely and accurate submission is key to facilitating the necessary accommodations.

By following these guidelines, you can help ensure that the Section 504 School Site Accommodation Plan is filled out correctly and efficiently, paving the way for an educational experience that is accessible and supportive of the student’s needs.

Misconceptions

When it comes to ensuring that all students have the access and support they need for a successful educational experience, the Section 504 School Site Accommodation Plan plays a vital role. However, there are several misconceptions surrounding these 504 plans that can create confusion for students, parents, and educators alike. Let’s clarify some of the most common misunderstandings.

  • Only students with physical disabilities are eligible for a 504 Plan. This is not true. A 504 Plan can also support students with mental impairments that substantially limit one or more major life activities. This broad definition includes conditions such as ADHD, anxiety, or dyslexia, in addition to physical disabilities.
  • A medical diagnosis is enough to qualify for a 504 Plan. While a diagnosis can support a request for a 504 Plan, eligibility is determined by the impact the condition has on the student’s academic performance. The school team must assess whether the impairment substantially limits the student’s ability to learn or perform other major life activities.
  • 504 Plans are only for academic accommodations. Actually, 504 Plans can include a variety of supports, not just academic ones. For instance, they might address accessibility, dietary needs, or the need for a nurse to administer medication during the school day.
  • Having a 504 Plan will make colleges and future employers view a student unfavorably. In reality, 504 Plan information is confidential and not included in transcripts sent to colleges or employers. The decision to disclose a disability is up to the individual, and many higher education institutions and workplaces provide their own forms of accommodations.
  • If a student gets good grades, they don't qualify for a 504 Plan. This is a misconception. A 504 Plan is about accessing the same level of education as one's peers, not just about preventing failing grades. Even high-achieving students may need accommodations to manage their conditions effectively.
  • Parents and students have no say in the creation or modification of a 504 Plan. This isn't accurate. Students and parents should be active participants in the development, review, and modification process of a 504 Plan. Their input is crucial for creating an effective plan that truly addresses the student's needs.
  • A 504 Plan is set in stone once it’s created. This is false. A 504 Plan is a living document that can be reviewed and modified as a student’s needs change. Regular reviews ensure that the accommodations remain relevant and effective in supporting the student’s education.

Understanding the facts about 504 Plans can help ensure that students who need them receive the proper support and accommodations. By dispelling these myths, we move closer to providing an inclusive and accessible educational environment for all students.

Key takeaways

Filling out the School 504 form correctly is essential for ensuring that students with disabilities receive the appropriate accommodations to support their educational experience. Here are key takeaways:

  • A 504 Plan is designed to provide necessary accommodations to students with a physical or mental impairment that substantially limits one or more major life activities.
  • Before a student can be eligible for accommodations under a 504 Plan, there must be written verification of the disability on file.
  • It's important to accurately determine and describe how the student's disability limits their major life activities, as this guides the accommodations they will receive.
  • Accommodations may include a range of instructional supports, assistive technologies, and services tailored to the student’s needs.
  • Common accommodations include oral reading of text, alternative text formats (i.e., large print, Braille), the use of calculators or computers, and flexible scheduling.
  • For students requiring additional support, services such as tutoring, counseling, mentorship, and behavior contracts may also be included in their 504 Plan.
  • Assistive technology, such as audio versions of texts, tape recorders, electronic spellers, or magnifiers, can be instrumental in removing barriers to learning.
  • It is crucial for the plan to detail not just the accommodations, but also specific strategies for implementation to ensure the student can fully benefit from their educational program.
  • Both the student (when applicable) and a parent or guardian should be involved in the planning process, alongside educational professionals.
  • All participants in the plan's development, including the student, instructor, LEA representative, parent/guardian (if applicable), and data processor, must sign the 504 Plan, signifying agreement and understanding.

By carefully addressing these aspects, the 504 Plan becomes a powerful tool in ensuring students with disabilities have equitable access to education and are positioned for success.

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