Student Grade IEP Precise Problem Response Who? By Goal & Fidelity of Outcomes/Updates Initials/ID & Current Levels Actions When? Timeline Implementation Y/N & Next Steps Problems: Include Who, what, where, Identify current when, why, & how intervention(s) often D.J. 5 N In app. Lang, CICO continue J.B. 3/1/16 80% poss. Mr. D. to check in Earned points 70% 4 of 6 during transitions pts daily, with teachers and days to get peer and 75% of days report at next week’s adult attention 4 days/wk mtg (2/17) ODRs= 1 4/1/16 Current goal: 70% Attendance: 4 days absent possible points of 10 due to illness daily 75% of days 4 days/wk 3/1
Student Initials/ID Grade IEP Y/N Precise Problem & Current Levels Problems: Include Who, what, where, when, why, & how often Response Actions & Next Steps Identify current intervention(s) Who? By When? Goal & Timeline Fidelity of Implementation Outcomes/Updates D.J. 5 N In app. Lang, during transitions to get peer and adult attention Current goal: 70% possible points daily 75% of days 4 days/wk 3/1 CICO continue J.B. 3/1/16 80% poss. pts daily, 75% of days 4 days/wk 4/1/16 Mr. D. to check in with teachers and report at next week’s mtg (2/17) Earned points 70% 4 of 6 days ODRs= 1 Attendance: 4 days absent of 10 due to illness
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