STUDENT INFORMATION
Student Name
Ryan
Grade
12
Date of Birth
10-12-94
School
Oakland Elementary Summer School
Date
6-24-15
POINT OF CONTACT
Speech teacher
EQUIPMENT
EQUIPMENT AND SOFTWARE TO BE USED
This device is currently on the Assistive technology list offered as a loan by GCPS at
http://www.gwinnett.k12.ga.us/Web-SpecialEdWeb.nsf/pages/AT
Eye Gaze
Step device
EQUIPMENT TASKS
TASK (e.g., order/procure AT, load software, adapt/customize devices/software, set up
at home/school, maintain/repair, etc.)
PERSON RESPONSIBLE
DATE DUE
Parent will ask the principal to inquire about getting the device for home and school use.
Principal
7-20-15
Any repairs that can be made at school are done. If unrepairable, the device is sent to
the county to be sent back to the company and replace it since it is part of the IEP.
Step device will be used to rehearse questions and answers.
Through 10-12-15
Through 10-12-15
Set up needs to be done at home and through the speech teacher to account for all
activities.
Parents/speech teacher
Through 10-12-15
IMPLEMENTATION TEAM
NAME (List all individuals who will implement the AT with the student.)
Special ed teacher
Sara Clifford
Principal
Mr.and/or Mrs. M.
Family member
Speech teacher
Speech teacher
paraprofessionals
paraprofessionals
TRAINING
TRAINING NEED
TRAINEES
TRAINER
How to use it
When distributed
IEP meeting
CLASSROOM IMPLEMENTATION
IEP GOAL
CURRICULUM/DOMAIN (e.g.,
math, science, PE, art, etc)
PERSON(S) RESPONSIBLE
science
math
Communication
HOME IMPLEMENTATION
IEP GOAL
CURRICULUM/DOMAIN (e.g.,
math, science, PE, art, etc)
PERSON(S) RESPONSIBLE
Speech/communication
Parents
Dynovox Vmax
Speech/communication
Parents
Step device
MONITORING/EVALUATION
GOAL
Student will use Eye Gaze for assessment
INSTRUCTIONAL STRATEGY