Tier II District Readiness
District Coordinators: Please enter this information after receiving and reviewing your schools' readiness packets. If any schools do not meet the recommended criteria, please meet with them to determine if they should attend Tier II training prior to filling out this form.
Name
First Name
Last Name
Email
example@example.com
Name of District
Is there anyone who is planning to attend Tier II training from the District? If so, please include their name and role.
Name & Role
Do all your teams meet the recommended requirements?
Yes
No
Have you met with them to review their data and determine a recommended course of action?
Yes
No
How many Primary School teams will be in attendance?
How many Elementary School teams will be in attendance?
How many Middle School teams will be in attendance?
How many High School teams will be in attendance?
How many Alternative/other teams will be in attendance?
How many total teams will be in attendance?
Have you verified that all of your teams in attendance will have the following roles represented: Admin, Data Manager, Tier I Liaison, Behavior Expert, Tier II Coordinator?
Yes
No
Does your district currently use an academic or behavioral universal screener or nomination process?
Yes
No
Please describe your district's academic or behavioral universal screener or nomination process.
Does your district currently have an Early Warning System (EWS) or any other data systems to identify "at risk" students?
Yes
No
Please describe your district's Early Warning System (EWS) or any other data systems to identify "at risk" students.
Does your district use any social-emotional learning curriculum for Tier I (all students)?
Yes
No
Please tell us which social-emotional learning curriculum is used for all students (Tier I) in your district and describe how it is used.
Does your district use any social-emotional learning curriculum for Tier II (small groups of students)?
Yes
No
Please tell us which social-emotional learning curriculum is used for small groups (Tier II) of students in your district and describe how they are used.
Does your district currently use any Tier II interventions?
Yes
No
Have you done any training to support their implementation?
Yes
No
Please describe the training you've done to support implementation of Tier II interventions in the district.
Will all your schools in attendance have access to student level data to identify students "at-risk" through EWS or other systems? (i.e. attendance, retention/over-age learner, grades, discipline,etc.)?
Yes
No
Do you have a document outlining standard operating procedures for your MTSS or RTI so we understand the process the schools are currently using?
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Are there any other documents you would like to share?
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Is there anything else you can share related to work that has already been done or is in progress for advance tiers (Tier II & III) in either academics or behavior?
Can you predict any potential barriers preventing your teams from implementing Tier II? If so, please share.
Can you predict any questions your teams may have related to implementing Tier II? If so, please share.
My initials below confirm my commitment to attending Tier II training both days and actively supporting my schools during and after the training.
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