TIER 3 Intervention Results: Area Being Targeted: Target Met: Made adequate progress towards benchmark Yes Personal/Social Made some progress, but data is inconsistent No Made little or no progress Made adequate progress towards benchmark Yes Adaptive Made some progress, but data is inconsistent No Made little or no progress Made adequate progress towards benchmark Yes Motor Made some progress, but data is inconsistent No Made little or no progress Made adequate progress towards benchmark Yes Communication Made some progress, but data is inconsistent No Made little or no progress Made adequate progress towards benchmark Yes Cognitive Made some progress, but data is inconsistent No Made little or no progress Made adequate progress towards benchmark Yes Communication (check specific focus for interventions) Made some progress, but data is inconsistent No Articulation Language Fluency Voice Made little or no progress As a member of this team, I understand that it is my responsibility to fully respect the right to privacy of students and families who are served. I understand that the information disclosed about any participant in this conference is strictly confidential and may not be released without the expressed written consent of the parent/guardian. Team Decision: Terminate interventions due to successfully meeting set targets. Refer to the Admissions and Release Committee for an individual evaluation to determine if the child presents with a disability. Parent/guardian declined the referral to the Admissions and Release Committee for further evaluations. Signatures: Principal/Counselor Parent Special Education Teacher Other General Education Teacher Other
TIER 3 Area Being Targeted: Intervention Results: Target Met: Personal/Social Made adequate progress towards benchmark Made some progress, but data is inconsistent Made little or no progress Yes No Adaptive Made adequate progress towards benchmark Made some progress, but data is inconsistent Made little or no progress Yes No Motor Made adequate progress towards benchmark Made some progress, but data is inconsistent Made little or no progress Yes No Communication Made adequate progress towards benchmark Made some progress, but data is inconsistent Made little or no progress Yes No Cognitive Made adequate progress towards benchmark Made some progress, but data is inconsistent Made little or no progress Yes No Communication (check specific focus for interventions) Articulation Language Fluency Voice Made adequate progress towards benchmark Made some progress, but data is inconsistent Made little or no progress Yes No Team Decision: Terminate interventions due to successfully meeting set targets. Refer to the Admissions and Release Committee for an individual evaluation to determine if the child presents with a disability. Parent/guardian declined the referral to the Admissions and Release Committee for further evaluations. As a member of this team, I understand that it is my responsibility to fully respect the right to privacy of students and families who are served. I understand that the information disclosed about any participant in this conference is strictly confidential and may not be released without the expressed written consent of the parent/guardian. Signatures: Principal/Counselor Parent Special Education Teacher Other General Education Teacher Other