Positive Behavior Support for ALL Michigan ... - Oakland Schools
Positive Behavior Support for ALL Michigan ... - Oakland Schools
Positive Behavior Support for ALL Michigan ... - Oakland Schools
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Worksheet 3.3 Sample <strong>Support</strong> Team Report<br />
Sample <strong>Support</strong> Team Report<br />
Date:<br />
Student’s Name:<br />
Grade:<br />
School:<br />
Program:<br />
Teacher:<br />
Parent Invited: (When): (By Whom):<br />
Conference type:<br />
Initial 1st 2nd 3rd 4th<br />
Meeting Follow-up Follow-up Follow-up Follow-up<br />
Concerns:<br />
Target <strong>Behavior</strong>:<br />
Progress (circle one):<br />
1. Program goals met<br />
2. <strong>Behavior</strong> showing improvement<br />
3. <strong>Behavior</strong> inconsistent<br />
4. No documentable behavior change<br />
5. <strong>Behavior</strong> worsening<br />
Mutually agreed upon strategy:<br />
Conferring team members and titles:<br />
1. 2.<br />
3. 4.<br />
5. 6.<br />
Disposition: ❑ Continue present strategy ❑ Revise strategy ❑ Case closed<br />
Copy distribution: ❑ Team members ❑ Principal ❑ Administrator(s)<br />
❑ Parent<br />
❑ Student<br />
Section 3 – 8