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The Teacher Support Team Process
should have, at every tier, DOCUMENTATION of the intervention provided the
student. This creates a record of implementation and provides baseline
data to be used in analyzing and prescribing the appropriate measures for
student growth.
TST Forms
It is important to note that the forms drive the process in implementing
an effective Teacher Support Team. The following forms are provided as a
guide in the implementation of the TST process.
TST 1 Request to
Teacher Support Team
TST 2 Student Data
Sheet
TST 3 Social /
Emotional Issues Worksheet
TST 4 Tier 1
Documentation
TST 4 Tier 2
Documentation
Behavioral Intervention Template (page 1)
Behavioral Intervention Template (page 2)
TST 5 TST Summary Form
TST 6 TST
Recommendation Form
TST 7 Tier 3
Instructional Intervention Documentation
TST 8 Statement of
Confidentiality
TST 9 Parent / Guardian
Invitation
The following forms are required for the Long Beach School District TSTs.
Process
Guide
Behavior
Process Guide (Tier 2 and 3)
Hearing Vision Screening Results
Elementary/Secondary Teacher Narrative
A.
Classroom Teacher Team Member Report
B. Criterion Checklists
1.
Auditory Perception Checklist
2. Fine Motor Checklist
3. Gross Motor Checklist
4.
Social Behavioral Checklist
5.
Visual Perception Checklist
C. Benchmarks
Pre-K Benchmarks
Kindergarten Benchmarks
First Grade Benchmarks
Second Grade Benchmarks
Third Grade Benchmarks
Fourth Grade Benchmarks
Fifth Grade Benchmarks
Sixth Grade Benchmarks
Seventh Grade Benchmarks
Eighth Grade Benchmarks
D. Work Samples
Work Sample Documentation
TST Yearly Documentation
Optional Forms include:
Report of Physical Observations
Additional Medical
Consent to Release
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