504 Plan Template
| Activity Name | Duration (minutes) |
|---|---|
| Writing | 60 |
| Reading books | 60 |
| Art therapy | 60 |
| Music therapy | 60 |
| Playing instruments | 60 |
| Physical play | 60 |
| Goal Description | Met | Not Met | Remarks |
|---|---|---|---|
| Improve attention span | 504 Plan Template Signatures Parent/Guardian Signature  Parent/Guardian Name Cathy Burton Holden Title Mother Date Signed 09/25/2020 504 Coordinator Signature  504 Coordinator Name Leslie Holden Title Facilitator/Coordinator Date Signed 09/25/2020 Administrator Name Betty Moore Administrator Signature  Title Administrator Date Signed 09/25/2020 Teacher Signature  Teacher Name Anne Toress Title Teacher Date Signed 09/25/2020 About this template A 504 Plan Template is a document that is used by the school and facilitator in order to plan and set goals for students that need special accommodation. This is very helpful in tracking the progress of a student and making sure they achieve milestones needed for their education. This 504 Plan Template shows the student information, parent or guardian information, current disability, student's medical history, facilitator information, support plans, support goals, and signatures. Using the Multi Type Columns layout in the Input Table, this PDF template has a goal-setting section that has for columns: goal description, goal met, a goal not met, and remarks. This template is using the Configurable List widget that allows the respondent to add similar fields dynamically. This PDF template is also using the Signature tool wherein the parents, 504 coordinators, teachers, and administrators can sign. You can further modify and change the design and layout of the template via the PDF Editor. Related templates  Strategic Plan TemplateFocus on the future and keep your company moving forward with Jotform’s Strategic Plan Template. Simply fill in the attached form with your company overview, delve deeper with a SWOT analysis, and finish off by determining your strategic goals, actions, and financial plans. 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