Government of Newfoundland and Labrador Education and Early Childhood Development Department of Education

Assistive Technology (AT) Trial Use Summary Note: Trials are to be a minimum of 30 calendar days

in duration and must occur during the school year.

AT Tried Date Used Comments

Student Name:

Comments should be student-specific, even if the trial occurred in a small group setting. Comments should include the specific device and software used, the content areas in which it was employed, the task accomplished and any immediate impact noted on quality and quantity of work produced, location/setting of learning, etc.

Education and Early Childhood Development AT Trial Use Summary August 2017 Page 1

Summary of Trial Period Summarize observations from the trial regarding the impact this technology had on the student's achievement, attitude, self-esteem, work completed, etc. What is the student able to do with the technology (easier, with less frustration, more independently, in a more timely manner...) than without the trialed technology?

Signature(s) of person(s) completing this trial:

Department of Education

* Please attach this form to the Assistive Technology Application and forward to your district Program Specialist or Itinerant for Student Support Services.

Type or print name:Signature

Date:

Type or print name:Signature

Date:

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