1. Reflecting on MTSS Data & Support/Lead Staff
12/5/13
School name: ______________________________________________________
Reflecting on MTSS
Data & Support/Lead Staff
Practices & Interventions/Tier
Tier 3/Tertiary Data & Staff %
_____________________
1-5% Tier 3/Tertiary Interventions
___________________________
Tier 2/Secondary Data & Staff %
___________________________
5-15% Tier 2/Secondary Interventions
____________________________
Tier 1/Universal Data & Staff %
________________________
80-90% Tier 1/Universal Interventions
____________________________
Adapted from Illinois PBIS Network, Revised May 15, Adapted from “What is school-wide PBS?” OSEP Technical Assistance Center on Positive Behavioral Interventions and Supports. Accessed at
DE-PBS Cadre Meeting 1

2. Reflecting on your school tiers - Sample