1. Texas Literacy Initiative Martha Medina, RTI Coordinator TLI Teacher Specialists: Patricia Cisneros Young Laura Martinez Roxanne Reyna Ninfa Garcia, Ph.D. Pace Cluster

2. New TLI will assist by providing intervention options for the TEACHER.

3. Parent Forms

4. BISD believes in providing Interventions to students who are not meeting standards BISD believes in effective education for Each Child, we utilize the 4 Tiered approach, RtI Based on cumulative data, your child has been referred for an intervention process, RtI

6. Questions to the parent regarding family, child behaviors, and/or Health concerns

8. The Parent acknowledges that the BISD has informed them of the RtI process and that the child will receive interventions.

9. RtI-1 Form Initial Student Referral to RtI Process

10. For major behavior concerns, refer to Review 360

11. Most information may be found in the student’s Personal Records Folder Academic and assessment data collection, select all that applies New

13. Select Accommodations that have been given the student If Very Effective, it may be an indicator that the student can perform better and that he/she may not have a learning problem

14. RtI-2 Form Student Health Information

15. Nurse will fill this form out for the student.

16. RtI-3A Form Screening for Language Dominance

17. Teachers should keep in mind that language may be a barrier affecting student’s academic performance. This is for all students.

18. RtI-3B Form Student Language Observation

19. Each teacher of the referred student needs to complete this check list Only filled out for Bilingual students.

22. RtI-4 Form Minutes and Action Log

23. RtI Coordinator will complete this form to make sure all paperwork has been filled out.

25. Collection of Student Data Achievement Scores ex. STAAR/ TELPAS/ STANFORD/ and etc… Grades ex. Current Grades Speed/ TPRI/ TEJAS LEE/TMSFA Input from Parents ex. Parent Information Form Attendance reports ex. Report from Data Entry

26. RtI-5 Individual Intervention Plan Elementary

27. New

31. RtI-5 Individual Intervention Plan Middle School

36. RtI-5 Individual Intervention Plan High School

41. You can provide any of these accommodat- ions for students. Only if they have an X under RtI Team.

42. RtI-6 Signature Form

43. Acknowledging that we have an instructional plan in place with adequate interventions for the child. And that it will be implemented with fidelity. New Observation needs to be documented for 18 weeks.

44. RtI-7 Progress Monitoring Record

46. RtI-14A Form Speech Language Dominance

47. Each teacher of the referred student needs to complete this check list

48. RtI-14B Form Student Oral Language Observation

51. Each teacher of the referred student needs to complete this check list

52. RtI-14C Form Speech Parent Interview

53. Parent Interview focuses on Birth Medical History and Developmental Background.

55. Additional Documentation Forms for Speech

60. RtI-10 Form Behavioral

63. RtI-11 Form Behavioral

65. RtI-12 Form Behavioral

72. RtI-13 Form Behavioral

76. RtI-9A Form Dyslexia

80. RtI-9B Form Dyslexia

84. RtI-14 Consent to Release Confidential Information

87. RtI-8A Form 504

89. RtI-15 Form Referral for Consideration of Special Education

91. Texas Literacy Initiative Martha Medina, RtI Coordinator Teacher Specialists: Patricia Cisneros Young Laura MaRtInez,and Roxanne Reyna Pace Cluster