DATE:

Tier 2/3 Systems Team

Leader:		Data Person:		Time Keeper:
Recorder:		(Intervention) Coordinator:		(Intervention) Coordinator:

DATA – (Facilitated by Leader and other Roles)

·   Universal Data- (Facilitated by person who has communication with Tier 1 Leader)

o   _____________________

o   _____________________

o   _____________________

 

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TRACKING TOOL DATA

·   ________ 1^st Intervention - (Facilitated by Coordinator X)

# participating	# responding	# students (sped) participating	# (sped) responding

 

·   _______% of students responding ________ % of students with IEPs responding

·   _______% of students NOT responding ________% of students with IEPs NOT responding

o   Other data markers to keep in mind (DATA Lead):

■   _______

■   _______

o   Other Information Pertinent to this Intervention (Facilitated by Coordinator)

■   _______

■   _______

o   Decisions Made and Next Steps: (SYSTEMS AND PRACTICES)

Think Social Validity, Treatment Integrity (for less than 70% responding), Universal Systems and Practices, Problem Solving

■   ___

■   ____

 

What :	Who Responsible:	By When:

 

 

 

 

·   ________2^nd  Intervention - (Facilitated by Coordinator X)

# participating	# responding	# students (sped) participating	# (sped) responding

 

·   _______% of students responding ________ % of students with IEPs responding

·   _______% of students NOT responding ________% of students with IEPs NOT responding

o   Other data markers to keep in mind (DATA Lead):

■   _______

■   _______

o   Other Information Pertinent to this Intervention (Facilitated by Coordinator)

■   _______

■   _______

o   Decisions Made and Next Steps: (SYSTEMS AND PRACTICES)

■   ___

■   ___

 

What :	Who Responsible:	By When:

Teacher Referrals - (Team Leader)

·   ________(# of referrals turned in)

·   What is their data?

·   What decisions have been made after looking at the data?

Next Meeting:

Review of Tasks

_____

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