Current compared to goal Precise Problem Goal Statement & Student Student what will Fidelity of Response By Current Level Initials/ID Outcomes & Tasks Who? change, by Implementation Actions When? Include Who, what, & Start Date Updates how much, when, how by when often, & why Maintain plan In first six weeks of Partial BrB adaptation intervention implementation No Change Phase change Implemented with Improved but Current Level: fidelity Not to Goal Refer to Tier III Stopped Met Goal Team ____________ Discontinue Other Maintain plan In first six weeks of Partial Worse BrB adaptation intervention implementation No Change Phase Change Implemented with Improved but Refer to Tier III Current fidelity Not to Goal Team Stopped Met Goal Discontinue ____________ Other New Referrals to Tier II Support Grade Referral Precision Problem Goal Fidelity of Student level Referral Source Projected Statement Include what will Teacher Response Actions Initiated By Implementation Initials/ID IEP Date start date change, by how Include who, what, where, Schedule much, by when Y/N when, how often, & why
Student Initials/ID & Start Date Precise Problem Statement & Current Level Include Who, what, when, how often, & why Goal what will change, by how much, by when Current compared to goal Fidelity of Implementation Student Outcomes & Updates Response Actions Tasks Who? By When? In first six weeks of intervention Current Level: ____________ Partial implementation Implemented with fidelity Stopped No Change Improved but Not to Goal Met Goal Maintain plan BrB adaptation Phase change Refer to Tier III Team Discontinue Other In first six weeks of intervention Current ____________ Partial implementation Implemented with fidelity Stopped Worse No Change Improved but Not to Goal Met Goal Maintain plan BrB adaptation Phase Change Refer to Tier III Team Discontinue Other New Referrals to Tier II Support Student Initials/ID Grade level IEP Y/N Teacher Referral Date Referral Source Precision Problem Statement Include who, what, where, when, how often, & why Response Actions Initiated By Projected start date Goal Include what will change, by how much, by when Fidelity of Implementation Schedule
2017%20Tier%20II%20Meeting%20Minute%20Template%20.docx