Document date: Behavior Intervention Plan (BIP) Page of
Student’s Name: District ID: State ID: Grade: Sex:
Native Lang: Ethnicity: Birth Date: Age:
3. WHAT WILL BE TAUGHT?
What Will Be Taught?
(What other behaviors or skills will be taught so that the Who Is Progress Monitoring
student can meet his or her needs in an acceptable Responsible? Method
4. RESPONSE TO TARGET BEHAVIOR
How will adults respond when the problem behavior occurs Who Is Progress Monitoring
so that their response does not (1) reinforce the student’s Responsible? Method
inappropriate behavior or (2) cause the adult greater stress?
January 2007 Form 520b
Copy to the confidential folder, each service provider, and the parent/adult student.