San Luis Obispo County Community College District

Disabled Student Programs and Services

LD Eligibility Assessment Summary

Student:Date Of Assessment:

SSN:Age at Assessment:

Date Of Birth:Examiner:Mark Tomes, LD Specialist

The following summary is based upon the intake interview and the eligibility assessment. Test scores are included.

Statement of Eligibility

XXX is eligible to receive services as a student with a documented learning disability according to the Americans with Disabilities Act of 1990, Section 504 of the Vocational Rehabilitation Act of 1973, Title V of the California Code of Regulations, and California Community College Learning Disability Eligibility Guidelines.

Referral And Background Information

XXX was referred to DSPS by XXX. S/He reported difficulty in XXX.

XXX reports a XXX history of academic difficulties. There are no OTHER reports of head injuries, serious injuries or illnesses, or other issues that would significantly impact XXX's ability to learn at the college level. This is HIS/HER FIRST semester attending college. S/H has a Cuesta College cumulative grade point average (GPA) of .

Aptitude/Ability: Strengths in Processing Information

XXX is a bright young WO/man with cognitive abilities ranging from XXX. Specific strengths include verbal reasoning, verbal expression, general reasoning and problem-solving, analytical reasoning, synthesizing information, kinesthetic learning, concrete learning, abstract learning, auditory processing, auditory echoic memory, auditory working memory, visual processing for general patterns,visual processing for details, visual processing speed,visual echoic memory, visual working memory.

Aptitude/Ability: Weaknesses in Processing Information

Deficit areas include XXX. XXX mentioned difficulties with attention and concentration, but the examiner did not see this in this structured, quiet, and engaging testing situation.

Academic Achievement Strengths

Academic strengths include decoding unfamiliar words (phonics), sight vocabulary, vocabulary meanings, untimed reading comprehension, timed reading comprehension, reading rate, word retrieval, spelling, proofreading,math calculations,math concepts, math applications (word problems).

Academic Achievement Weaknesses

Academic weaknesses include XXX.

Significant Processing Deficits and Significant Aptitude-Achievement Discrepancies

(see enclosed printouts)

Recommendations For Educational Accommodations (DSPS Services)

San Luis Obispo Campus North County Campus

Hwy 1  San Luis Obispo, CA 93403-81062800 Buena Vista Drive  Paso Robles, CA 93446

(805) 546-3148 V/TDD  TDD (805) 546-3149(805) 591-6215  TDD (805) 591-6216

Fax: (805) 546-3930 Fax: (805) 591-6372

• extra time on tests

• spell checker

• specialized tutoring

• priority registration

• word processor

• calculator / multiplication tables chart

• tests on tape/digital media

• reduced course load

San Luis Obispo Campus North County Campus

Hwy 1  San Luis Obispo, CA 93403-81062800 Buena Vista Drive  Paso Robles, CA 93446

(805) 546-3148 V/TDD  TDD (805) 546-3149(805) 591-6215  TDD (805) 591-6216

Fax: (805) 546-3930 Fax: (805) 591-6372

• books on tape/digital media

Recommendations For Academic Success

Cuesta College course recommendations - see Student Education Plan

Educational Strategies, Referrals, and Follow-up:

San Luis Obispo Campus North County Campus

Hwy 1  San Luis Obispo, CA 93403-81062800 Buena Vista Drive  Paso Robles, CA 93446

(805) 546-3148 V/TDD  TDD (805) 546-3149(805) 591-6215  TDD (805) 591-6216

Fax: (805) 546-3930 Fax: (805) 591-6372

• academic tutoring

• proofreader

• study groups

• tape record lectures

• re-write notes

• verbalize material

• academic counseling

San Luis Obispo Campus North County Campus

Hwy 1  San Luis Obispo, CA 93403-81062800 Buena Vista Drive  Paso Robles, CA 93446

(805) 546-3148 V/TDD  TDD (805) 546-3149(805) 591-6215  TDD (805) 591-6216

Fax: (805) 546-3930 Fax: (805) 591-6372

______

Mark TomesDate

Learning Disabilities Specialist

San Luis Obispo Campus North County Campus

Hwy 1  San Luis Obispo, CA 93403-81062800 Buena Vista Drive  Paso Robles, CA 93446

(805) 546-3148 V/TDD  TDD (805) 546-3149(805) 591-6215  TDD (805) 591-6216

Fax: (805) 546-3930 Fax: (805) 591-6372