1. Our Students Name of team members and position in school

2. Background information Tell a little about your school: SES Number of students Grade levels served

3. Student “A” description Put in the following: Age Grade level Any known disabilities??? Any other information that will let us know the child as if we worked at your school.

4. Behavior You Targeted for Change Write it in measurable and observable terms

5. Data Collection What data did you collect? What tool did you use? Who collected it? Who analyzed it? How long did you collect data?

6. Analysis What are the hypotheses your team determined? Put in Antecedent, Behavior, Consequence for each behavior that you targeted on next page.

7. AntecedentBehaviorConsequence Put in the antecedent here Put in the behavior herePut in the consequence here AntecedentIf you have more than one target behavior add that here consequence

8. Interventions What interventions did you put in place? Who, What, When, Where, Why????? This will take more than one slide- be sure to write specifically what you put in place and how it was measured for fidelity.

9. Results Text here about the results- what did you tweak

10. Insert Data Here Put your graph here

11. Summary What do you plan to do next?????

12. Student “B” description Put in the following: Age Grade level Any known disabilities??? Any other information that will let us know the child as if we worked at your school.

13. Behavior You Targeted for Change Write it in measurable and observable terms

14. Data Collection What data did you collect? What tool did you use? Who collected it? Who analyzed it? How long did you collect data?

15. Analysis What are the hypotheses your team determined? Put in Antecedent, Behavior, Consequence for each behavior that you targeted on next page.

16. AntecedentBehaviorConsequence Put in the antecedent here Put in the behavior herePut in the consequence here AntecedentIf you have more than one target behavior add that here consequence

17. Interventions What interventions did you put in place? Who, What, When, Where, Why????? This will take more than one slide- be sure to write specifically what you put in place and how it was measured for fidelity.

18. Results Text here about the results- what did you tweak

19. Insert Data Here Put your graph here from the Four P data chart

20. Summary What do you plan to do next?????

21. Student “C” description (Low Self- Esteem) Put in the following: Age Grade level Any known disabilities??? Any other information that will let us know the child as if we worked at your school.

22. Behavior You Targeted for Change Write it in measurable and observable terms

23. Data Collection What data did you collect? What tool did you use? Who collected it? Who analyzed it? How long did you collect data?

24. Analysis What are the hypotheses your team determined? Put in Antecedent, Behavior, Consequence for each behavior that you targeted on next page.

25. AntecedentBehaviorConsequence Put in the antecedent here Put in the behavior herePut in the consequence here AntecedentIf you have more than one target behavior add that here consequence

26. Interventions What interventions did you put in place? Who, What, When, Where, Why????? This will take more than one slide- be sure to write specifically what you put in place and how it was measured for fidelity.

27. Results Text here about the results- what did you tweak

28. Insert Data Here Put your graph here

29. Summary What do you plan to do next?????

30. Student “D” description (student learning style survey) Put in the following: Age Grade level Any known disabilities??? Any other information that will let us know the child as if we worked at your school.

31. Behavior You Targeted for Change Write it in measurable and observable terms

32. Data Collection What data did you collect? What tool did you use? Who collected it? Who analyzed it? How long did you collect data?

33. Analysis What are the hypotheses your team determined? Put in Antecedent, Behavior, Consequence for each behavior that you targeted on next page.

34. AntecedentBehaviorConsequence Put in the antecedent here Put in the behavior herePut in the consequence here AntecedentIf you have more than one target behavior add that here consequence

35. Interventions What interventions did you put in place? Who, What, When, Where, Why????? This will take more than one slide- be sure to write specifically what you put in place and how it was measured for fidelity.

36. Results Text here about the results- what did you tweak

37. Insert Data Here Put your graph here

38. Summary What do you plan to do next?????