Indiv Reading Ip Template 2016

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Individual Reading Impro

Student:

Team Members:
ELL SE SPL RTN

Problem Definition
Target Area:

Intervention Plan
Intervention Strategies:

Plan Details
Additional Materials for Intervention: Training Plan Needed? Please describ
Intervention Consistency: Student attendance record

Progress Monitoring (attach graphs)


Measure(s): Frequency: Baseline:

Person Responsible:

Goal Met: Yes No

Adapted from LeAnne Robinson (2009), Western Washington University, leanne.robinson@wwu.edu Permission from author to print in OS G
eading Improvement Plan - Clawson Elementary Schoo
Grade: Teacher: Identification Date: Plan Review Date(s):

Goal (Timeframe, acceptable performance criteria):

Entry Date:

Exit Date:

Duration: Person Responsible:


Plan Needed? Please describe:
M:

T:

W:

R:
F:
Parent "Read at Home" plan signed and returned?

Yes No

Level of Intervention
e: Target:

Tier 1 Tier 2

et: Yes No

.edu Permission from author to print in OS Guidelines (personal communication 11/19/10)


entary Schools
view Date(s):

Relevant Data Summary

Universal Screening/Benchmarks

Student Score Standard


Fall

Winter

Spring

Other Diagnostic Data

Responsible:
n signed and returned?

No

ntervention

Tier 3

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