Student IEP Referral Referral Source Response Actions By Goal & Fidelity of Outcomes/ Teacher Who? Initials/ID Date & Relevant Information & Next Steps When? Timeline Implementation Updates Y/N JP 4 Jenkins N 2/3 JP: See Tier 2 notes above. Create an RGS Student 2/10 Install Tier III TBD TBD Support Team, initiate supports w/in the process for 2 completing a FBA & & as defined BSP. in BSP Organization & Housekeeping Items Information for Team, or Issue for Team to Address Discussion/Decision/Task (if applicable) Who? By When? Communication Plan Provide update on student proportions and % of students meeting goals to all Katie 2/5 staff Related to the progress and decisions identified during the meeting CICO Booster CICO Booster at all-staff (take attendance) Anne 2/9 Set up fidelity self-reporting scale in break room and request staff members to 2/4 daily indicate level of implementation (or N/A) Homework Club update Add homework club table option at breakfast for students who come early & Rhonda 2/11 don’t need breakfast Team Roles for next year Need primary and backups for roles. Backups this year are positioned for Rhonda 3/1 primary role. Need to recruit back ups for next year Evaluation of Team Meeting (Mark your ratings with an Our Rating “X”) Yes So-So No 1. Was today’s meeting a good use of our time? X 2. In general, did we do a good job of whether we are completing the tasks X tracking we agreed upon at previous meetings? 3. In general, have we done a good job of actually the tasks we agreed X completing upon at previous meetings? 4. In general, are the completed tasks having the on student behavior? X desired effects
Student Initials/ID Teacher IEP Y/N Referral Date Referral Source & Relevant Information Response Actions & Next Steps Who? By When? Goal & Timeline Fidelity of Implementation Outcomes/ Updates JP 4 Jenkins N 2/3 JP: See Tier 2 notes above. Create an RGS Student Support Team, initiate the process for completing a FBA & BSP. 2/10 Install Tier III supports w/in 2 & as defined in BSP TBD TBD Organization & Housekeeping Items Information for Team, or Issue for Team to Address Discussion/Decision/Task (if applicable) Who? By When? Communication Plan Related to the progress and decisions identified during the meeting Provide update on student proportions and % of students meeting goals to all staff Katie 2/5 CICO Booster CICO Booster at all-staff (take attendance) Set up fidelity self-reporting scale in break room and request staff members to daily indicate level of implementation (or N/A) Anne 2/9 2/4 Homework Club update Add homework club table option at breakfast for students who come early & don’t need breakfast Rhonda 2/11 Team Roles for next year Need primary and backups for roles. Backups this year are positioned for primary role. Need to recruit back ups for next year Rhonda 3/1 Evaluation of Team Meeting (Mark your ratings with an “X”) Our Rating Yes So-So No 1. Was today’s meeting a good use of our time? X 2. In general, did we do a good job of tracking whether we are completing the tasks we agreed upon at previous meetings? X 3. In general, have we done a good job of actually completing the tasks we agreed upon at previous meetings? X 4. In general, are the completed tasks having the desired effects on student behavior? X
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