Format to Remind Teachers about a Student's Accommodation Needs

This format puts the student in charge (building self advocacy skills) and sets the expectation that, with these accommodations, the student can meet the academic standards set for the class.

I, (student name), need the following accommodations to help me learn in your classroom.

(Student lists accommodations needed and hands this note to the teacher)

If you need more information about these accommodations, you can talk to:

(Name of special education teacher, parent, principal, related service provider)

Thank you for helping me to succeed in your class!

Student signature
Date