team procedures and check list for tier one classroom interventions

							       Team Procedures and Check List for Tier One Classroom Interventions

          Student: _______________________ Team: ________________

Step           Description of Procedure to Follow        Child Study         Check off
                                                        Document Page
                                                                              (date)
                                                              #

 1        Team identifies a student who is struggling

 2        Team meets with parent and determines the           1
          Areas of Concern

 3        Team writes a measurable statement of the      1 (bottom)
          problem

 4        Team chooses 2 interventions that directly         2-3
          address the stated problem

 5        Team identifies core teacher(s) who will be      2 (top)
          responsible for implementing the
          interventions through their classes

 6        Team implements interventions and keeps a           4
          record of and copies of documents
          demonstrating success or failure (these
          documents should span from the time
          interventions are implemented to the date
          submitted to Child Study)

 7        Team determines (after several weeks)
          whether or not to submit student to Child
          Study for further analysis