Tier III Check List by HC120809064440

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 TIII    Tier III Check List
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                           Form or Documentation                                                          √

For ALL Referrals          Tier III Application
                           Available on the District Web Site


                           Summary Notes from LPSTeam Meetings with dates, recommendations,
                           assignments, and documentation of fidelity and follow-through.

For Academic Referrals     Progress Monitoring Data showing 6 – 8 data points on a Tier II intervention
                           which shows little or no academic gain.

                           Demonstration within the Progress Monitoring Data showing an intervention
                           change with an additional 6 – 8 data points in a second or modified Tier II
                           intervention which shows little or no academic gain.

                           Benchmark and/or Strategic Monitoring Growth Report for Reading and or
                           Math.

For Behavioral Referrals   Progress Monitoring Data showing 6 – 8 weeks of a consistently applied
                           behavioral intervention such as Check-In Check-out, Behavior Report Card
                           Generator, or other identified behavioral program which shows little or no
                           change in behaviors.

                           Behavioral Calendar with a minimum of two weeks collection leading up to the
                           Tier III meeting.

                           ‘Statistical Gap’ Observation Report

                           Anecdotal record from ‘Friend in the Building,’ mentor, or small group
                           participation




McIntosh County Schools                                                                                   Page 1

								
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