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PBIS Tier 2 Quick Start

Student Name

Referring Staff

Teacher managed T2 intervention:

Comment/suggestions:

INFORMATION
Student has more than 2 minor Student could fail
Parent requests T2 intervention
& major referrals English/Lang. Arts
Student has less than 80% Student requests T2
Student disrupts learning
attendance intervention
Counselor/Home School
Student sleeps in class Student cries a lot
Coordinator
Student qualifies for T2
Student could fail Math Student seems fatigued academic Troller Time
intervention
MOTIVATION
Obtain peer attention Obtain items/activities Avoid peers/adult
Obtain adult attention Avoid tasks/activities
BEHAVIOR CONCERNS
Inappropriate Location/ Out of
Abusive Language Bullying
Bounds
Physical Aggression Use of Tobacco Harassment
Defiant Chronic Tardy Physical Contact
Disrespect Chronic Absence Fighting
Insubordination Cheating Dress Code
T2 INTERVENTION SUGGESTIONS
Punch Card Victims of Bullying Group Alternative seating
Start your day off right Bullying Aggressor Group Head start in line
Weekly grade check &
Self Monitoring New student orientation help
conference
Classroom Reinforcement
Behavior awareness Escort students to class
System
CICO Homework Club Connection (daily contact)
Organization & study skills In class schedule that students
Check & Connect
management earn break
Start Team Time process Positive peer reporting Greeting students at the door
Organization of physical
Conflict resolution training Class Dojo
structure
Non-verbal communication
I Can Problem Solve ICPS Recovery/reflection center
skills
Anger management training Visual supports Fluid scheduling – If under
Give jobs in classroom pressure in other subject, allow
Mentoring Program
(responsibility) time if possible
Classroom environment check
De-escalation/Relaxation
(over stimulation)

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