RTI Forms

Step 4

RTI Team notes will be completed during First RTI Meeting by the Team Recorder and Maintained by the Coordinator.

Step 1

If a Student is NOT meeting classroom expectations, track teacher interventions and differentiated instruction strategies on this form. Also, please include bi-weekly progress monitoring information. Please reference student performance data such as TPRI, Accelerated Reading & Math Diagnostic reports, and local benchmark data.

6-9 WEEK DURATION

Step 3

Parent/Guardian Interview Form

Either by phone or conference,the RTI Team Leader will contact and complete the parental interview and document parental responses prior to the Initial RTI Meeting.

Educational Records Form

RTI Team Leader will complete the form prior to the Initial RTI Meeting.

Educational Health Form

School nurse will complete the form prior to the Initial RTI Meeting.

Step 5

Follow-Up Meeting Minutes

RTI Team Tier 2 notes and goal monitoring will be completed during follow up RTI meetings.Meeting time will be used to discuss and determine success of Tier 2 instruction or course of action.

Step 6

Parental Permission for Academic Performance Screening

Tier 3 Form for Parental Permission for Additional testing of student.

Step 2

Student At-Risk Referral Form

Use this form to refer the student to the RTI Committee for further evaluation and instructional support. Please use measurable goals and expectations.

RTI Process Forms For Submission