STUDENTS IN SPECIAL EDUCATION: INTENSIVE INTERVENTIONS K-4 Required Components Recommended Data Collector Section 1A, 1B, or 1C Classroom Teacher/Counselor Section 1D School Administrator Section 3B, 3C, & 3D Classroom Teacher/TST/IEP Team * NOTE: Include IEP section Template Appendix D Classroom Teacher/ TST/IEP Team Appendix E Classroom Teacher/TST/IEP Team Appendix F Classroom Teacher/Interventionist * NOTE: Complete only if 3rd grade student applying for Good Cause Exemption. STUDENTS WITH DYSLEXIA Required Components Recommended Data Collector Section 1A, 1B, or 1C Classroom Teacher/Counselor Section 1D School Administrator Section 2A & 2B Classroom Teacher/Interventionist Section 3A Classroom Teacher/Interventionist Section 3B, 3C, & 3D Classroom Teacher/TST Appendix C Teacher and Parent Appendix E Classroom Teacher/TST/IEP Team * NOTE: Applies to students in K-4 with a reading deficiency. Appendix F Classroom Teacher/Interventionist * NOTE: Complete only if 3rd grade student applying for Good Cause Exemption. ENGLISH LEARNER* Learners (ELL) Required Components Recommended Data Collector Section 1A, 1B, or 1C Classroom Teacher/Counselor Section 1D School Administrator Appendix B ELL Teacher Appendix E Classroom Teacher/TST/IEP Team Appendix F Classroom Teacher/Interventionist * NOTE: Complete only if 3rd grade student applying for Good Cause Exemption. *If English Learner (EL) students are in the Tier process it is recommended that Tier II and Tier III documentation is utilized as outlined for “Students in General Education.”
STUDENTS IN SPECIAL EDUCATION: INTENSIVE INTERVENTIONS K-4 Required Components Recommended Data Collector Section 1A, 1B, or 1C Section 1D Section 3B, 3C, & 3D Appendix D Appendix E Appendix F Classroom Teacher/Counselor School Administrator Classroom Teacher/TST/IEP Team * NOTE: Include IEP section Template Classroom Teacher/ TST/IEP Team Classroom Teacher/TST/IEP Team Classroom Teacher/Interventionist * NOTE: Complete only if 3rd grade student applying for Good Cause Exemption. STUDENTS WITH DYSLEXIA Required Components Recommended Data Collector Section 1A, 1B, or 1C Section 1D Section 2A & 2B Section 3A Section 3B, 3C, & 3D Appendix C Appendix E Appendix F Classroom Teacher/Counselor School Administrator Classroom Teacher/Interventionist Classroom Teacher/Interventionist Classroom Teacher/TST Teacher and Parent Classroom Teacher/TST/IEP Team * NOTE: Applies to students in K-4 with a reading deficiency. Classroom Teacher/Interventionist * NOTE: Complete only if 3rd grade student applying for Good Cause Exemption. ENGLISH LEARNER* Learners (ELL) Required Components Recommended Data Collector Section 1A, 1B, or 1C Section 1D Appendix B Appendix E Appendix F Classroom Teacher/Counselor School Administrator ELL Teacher Classroom Teacher/TST/IEP Team Classroom Teacher/Interventionist * NOTE: Complete only if 3rd grade student applying for Good Cause Exemption. *If English Learner (EL) students are in the Tier process it is recommended that Tier II and Tier III documentation is utilized as outlined for “Students in General Education.”