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SPECIAL NEEDS STUDENT DATA SHEET (Section 504) Date Referred by DEMOGRAPHIC INFORMATION Name Student # Permanent Address Street P.O. Box Apt. # City Zip Phone # Phone # Marital Status Sex Age Permanent
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How to fill out 504 template form

How to fill out 504 template form?
01
Start by downloading the 504 template form from a reliable source or obtain it from the appropriate educational institution or organization.
02
Carefully read through the instructions provided with the form to understand the purpose and requirements of a 504 plan.
03
Begin filling out the form by providing the necessary personal information of the student for whom the 504 plan is being created. This includes name, date of birth, contact details, and student identification number.
04
Next, include the relevant details of the student's school, such as the name, contact information, and any specific department or administrative office responsible for implementing and overseeing the 504 plan.
05
Move on to the section that requires a detailed description of the student's disability or medical condition that necessitates the need for a 504 plan. Provide specific information, including diagnosis, treatment, and any limitations or challenges faced by the student in the educational setting.
06
Specify the accommodations and services that the student requires to ensure equal access and opportunities in their education. This may include modifications in the classroom, specialized instruction, assistive technology, additional time for assignments or exams, among others. Be as detailed and specific as possible in this section.
07
If the student requires any health-related services or supports, provide a comprehensive outline of the necessary procedures, medications, or professionals involved. If applicable, include any emergency plans or protocols that need to be in place.
08
Ensure that all supporting documentation, such as medical reports, assessments, or evaluations, is attached as required. These documents should provide additional evidence and justification for the requested accommodations and services.
09
Review and double-check all the information provided in the form for accuracy and completeness. Make any necessary revisions or additions before submitting the form.
10
Finally, submit the completed 504 template form to the appropriate authority at the educational institution, such as the school's principal or the district's Section 504 coordinator. Retain a copy of the form for personal records.
Who needs a 504 template form?
01
Students with disabilities or medical conditions who require accommodations and services to ensure equal access and opportunities in their education.
02
Parents or legal guardians of the student who are responsible for advocating and creating a comprehensive plan for their child's academic success.
03
Educational institutions, such as schools or colleges, that are required to provide reasonable accommodations and supports under Section 504 of the Rehabilitation Act of 1973. This law prohibits discrimination against individuals with disabilities in any program or activity receiving federal financial assistance.
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What is 504 template form?
The 504 template form is a standardized document used for reporting information related to certain aspects of a project or program.
Who is required to file 504 template form?
The exact requirements for filing the 504 template form depend on the specific regulations and guidelines governing the project or program. It is important to consult the relevant authorities or documentation to determine who is required to file the form.
How to fill out 504 template form?
The process of filling out the 504 template form can vary depending on the specific requirements set forth by the project or program. It typically involves providing detailed information and supporting documentation about various aspects of the project or program.
What is the purpose of 504 template form?
The purpose of the 504 template form is to gather and consolidate important information about a project or program that can be used for reporting, analysis, and decision-making purposes. It helps ensure transparency and accountability in the management and implementation of the project or program.
What information must be reported on 504 template form?
The specific information that must be reported on the 504 template form can vary depending on the requirements set forth by the project or program. It generally includes details about project objectives, milestones, timelines, funding sources, budgetary information, and progress updates.
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