Define any entry and exit criteria School Minimum of 1 Not started for interventions that will be Leadership month prior to In Progress based on SRSS data Team SRSS Complete administration During Administration Activities Table . School Implementation Activities During Administration Activity based on Person By When Circle administration Responsible Status Meet in a computer lab or other Principal For each SRSS Complete room with computer access administration SRSS Coordinator Teachers Access SRSS class list Teacher For each SRSS Complete administration Each teacher checks their class Teacher For each SRSS Complete list for accuracy administration Each teacher checks that all Teacher For each SRSS Complete SRSS items are included and the administration scale is correct Rate each student going Teacher For each SRSS Complete horizontally administration Rate each student using the 0, 1, Teacher For each SRSS Complete 2, 3 scale administration If a student has been enrolled for Teacher For each SRSS Complete fewer than 30 school days, do administration not rate the student
Define any entry and exit criteria for interventions that will be based on SRSS data School Leadership Team Minimum of 1 month prior to SRSS administration Not started In Progress Complete During Administration Activities Table . School Implementation Activities During Administration Activity based on administration Person Responsible By When Circle Status Meet in a computer lab or other room with computer access Principal SRSS Coordinator Teachers For each SRSS administration Complete Access SRSS class list Teacher For each SRSS administration Complete Each teacher checks their class list for accuracy Teacher For each SRSS administration Complete Each teacher checks that all SRSS items are included and the scale is correct Teacher For each SRSS administration Complete Rate each student going horizontally Teacher For each SRSS administration Complete Rate each student using the 0, 1, 2, 3 scale Teacher For each SRSS administration Complete If a student has been enrolled for fewer than 30 school days, do not rate the student Teacher For each SRSS administration Complete
04_Student_Risk_Screening_Scale_Checklist.docx