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differentiatED Submission
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* Indicates required question
Name
*
Your answer
Needed by:
*
MM
/
DD
/
YYYY
Subject:
Your answer
Level of modification needed
*
Simplified (simplified language but same content)
Simplified and Modified (simplified language ~2nd reading level)
Modified (supported with icons ~1st grade reading level)
Required
Main ideas/themes/objectives for students to understand:
*
List 2-3 main concepts that must be included in the modified work.
Your answer
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