Month __________________ Year _____ Franklin City Public Schools Triage Form School ____SPM, JPK, FHS __
Triggering in all 3 indicators = required "I Can Do It"
Franklin City Public Schools
4th 2nd
indicent incident
is trigger is trigger Grades (1 or GRD
4th absence for for DIS Action DIS Action more D or F) Benchmark Action
is trigger for ATT Action ATT Action ATT Action Discipline Discipline DIS Action taken- taken- Interim/Gr (1 or more taken - GRD Action GRD Action
Student last, first Grade Attendance taken -who taken-what taken-when - ISS - OSS taken -who what when Period failing) who taken-what taken-when
Form Creation 8/2010
Month __________________ Year _____ Franklin City Public Schools Triage Form School ____SPM, JPK, FHS __
Triggering in all 3 indicators = required "I Can Do It"
4th 2nd
indicent incident
is trigger is trigger Grades (1 or GRD
4th absence for for DIS Action DIS Action more D or F) Benchmark Action
is trigger for ATT Action ATT Action ATT Action Discipline Discipline DIS Action taken- taken- Interim/Gr (1 or more taken - GRD Action GRD Action
Student last, first Grade Attendance taken -who taken-what taken-when - ISS - OSS taken -who what when Period failing) who taken-what taken-when
Form Creation 8/2010
Month __________________ Year _____ Franklin City Public Schools Triage Form School ____SPM, JPK, FHS __
Triggering in all 3 indicators = required "I Can Do It"
4th 2nd
indicent incident
is trigger is trigger Grades (1 or GRD
4th absence for for DIS Action DIS Action more D or F) Benchmark Action
is trigger for ATT Action ATT Action ATT Action Discipline Discipline DIS Action taken- taken- Interim/Gr (1 or more taken - GRD Action GRD Action
Student last, first Grade Attendance taken -who taken-what taken-when - ISS - OSS taken -who what when Period failing) who taken-what taken-when
Form Creation 8/2010