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Cambridge Public Schools Instructional Support Consultation RequestStudentspecific Assistive Technology (AT) and/or Augmentative and Alternative Communication (AAC) I. STUDENT INFORMATION NAMEBIRTHDATEAGE/GRADEREFERRAL
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How to fill out student-specific assistive technology at

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To fill out student-specific assistive technology form, follow these steps:
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Start by downloading the student-specific assistive technology form from the school's website or receiving it from the appropriate authority.
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Read the form thoroughly to understand the required information and any additional instructions or guidelines provided.
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Begin by entering the student's personal information accurately in the designated fields. This may include the student's name, date of birth, grade level, and contact details.
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Provide relevant information about the student's disability or special needs, as specified in the form. This may include any medical conditions, visual or auditory impairments, learning disabilities, or motor skill limitations.
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Specify the type of assistive technology required by the student. This can range from specialized software, communication devices, visual aids, hearing aids, mobility devices, or any other assistive tools that can enhance the student's learning or daily activities.
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If necessary, provide additional details or explanations about the student's specific assistive technology needs in the designated section of the form.
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Complete the remaining sections of the form, including any consent or authorization signatures required from the student, parents, or legal guardians.
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Review the filled-out form carefully to ensure accuracy and completeness of information.
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Once satisfied, submit the completed student-specific assistive technology form to the designated authority or school department responsible for assistive technology services.
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Keep a copy of the filled-out form for your records.
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Note: It is always recommended to consult with the school's administration or relevant professionals if you have any doubts or need assistance in filling out the form.

Who needs student-specific assistive technology at?

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Student-specific assistive technology is needed by students who have disabilities or special needs that hinder their learning, communication, mobility, or engagement in educational activities.
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The types of students who may require student-specific assistive technology can vary widely and may include:
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- Students with physical disabilities or mobility impairments who require mobility aids, wheelchair-accessible equipment, or alternative means of communication.
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- Students with visual impairments who need assistive tools such as screen readers, magnifiers, or Braille devices to access educational materials.
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- Students with hearing impairments who rely on assistive devices like hearing aids, cochlear implants, or visual signaling systems to ensure effective communication.
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- Students with learning disabilities who benefit from specialized software, text-to-speech applications, speech recognition software, or other assistive technology tools to improve their reading, writing, or comprehension skills.
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- Students with cognitive impairments or intellectual disabilities who may require assistive technology for communication, cognitive development, memory aids, or task management systems.
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Ultimately, student-specific assistive technology aims to support and empower students with disabilities to participate fully in their educational journey, enhance their overall learning experience, and promote inclusivity in educational environments.
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Student-specific assistive technology refers to tools and devices that are designed to assist individual students with disabilities in their learning and daily activities, providing support tailored to their specific needs.
Individuals responsible for the management and provision of assistive technology services, such as school administrators, special education coordinators, or case managers, are typically required to file student-specific assistive technology documentation.
To fill out student-specific assistive technology documentation, you need to collect relevant information about the student, including their disability, specific technology needs, rationale for the recommended assistive technology, and any implementation plans. Follow the provided forms and guidelines to ensure all necessary details are accurately documented.
The purpose of student-specific assistive technology is to enhance the educational experience of students with disabilities by providing them with tools that promote independence, engagement, and participation in learning activities, thereby improving their academic and functional outcomes.
The information that must be reported includes the student's name, identification of their disability, specific assistive technology requirements, justification for the technology, implementation strategies, and evaluation methods to assess the effectiveness of the technology.
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