Chapter 4 - Implementing a System of Research-based Interventions
Chapter 4 - Implementing a System of Research-based Interventions
Chapter 4 - Implementing a System of Research-based Interventions
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<strong>Chapter</strong> 4 <strong>Implementing</strong> a <strong>System</strong> <strong>of</strong> <strong>Research</strong>-Based <strong>Interventions</strong><br />
d. What do you want the school to know about your family’s culture and<br />
customs?<br />
Resource Tool: Sample Forms for Documenting Problem Identification<br />
Important: Below are example forms for documenting reading and writing intervention<br />
information with parents, or for creating the written intervention plan.<br />
Sample1: Student Reading Intervention Record<br />
Student Name Teacher and Grade Date<br />
Background Information<br />
Home and Community<br />
School Background Information (attendance, health screenings, etc.)<br />
Reading History and Assessment Data (please attach assessment details)<br />
Phonics Survey<br />
Test <strong>of</strong> Phonemic Awareness<br />
Sound Identification<br />
Oral Reading Assessment<br />
Listening Assessment<br />
Word Recognition/Analysis<br />
Silent Reading Assessment<br />
Spelling Assessment<br />
Informal Reading Inventory<br />
Vocabulary Inventory<br />
Writing Sample<br />
Running Record<br />
Observational Notes<br />
Notes:<br />
Independent Reading Level<br />
Instructional Reading Level<br />
State Assessment Information<br />
Normed Assessment Information<br />
Areas <strong>of</strong> Strength<br />
Areas <strong>of</strong> Interest<br />
Emotional response to instruction/sense <strong>of</strong> self-efficacy<br />
with task<br />
Minnesota Department <strong>of</strong> Education Draft 4-28
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