Sample Title I Student Selection Criteria Sheet English Language Arts – (Grades 4-5) Classroom Teacher_____________________________________ Grade______ School Year _____________________ IEP / ELL Benchmark (Please write Title I Assessment ELA SRI Total IEP or ELL if Tutor Points System Recommendations MCAS it applies to (Initials) this student) Tier 2: Classroom Title I NI=20 pts Tier 2: Max: Teacher Teacher 100 20 pts. W=30 pts 10 pts. 10 pts 10 pts Score Tier 3: Tier 3: Student Name 30 pts 20 pts.
Sample Title I Student Selection Criteria Sheet – English Language Arts (Grades 4-5) Classroom Teacher_____________________________________ Grade______ School Year _____________________ Student Name IEP / ELL (Please write IEP or ELL if it applies to this student) Title I Tutor (Initials) Benchmark Assessment System Recommendations ELA MCAS SRI Total Points Score Tier 2: 20 pts. Tier 3: 30 pts Classroom Teacher 10 pts Title I Teacher 10 pts NI=20 pts W=30 pts Tier 2: 10 pts. Tier 3: 20 pts. Max: 100
student-criteria.docx