Response to Intervention (RTI) Meeting Notes



Response to Intervention (RTI) Meeting Notes

Meeting Date:_______________________ Time:________________ Initial Mtg. ____ Follow-up Mtg. ____

Student’s Name: _______________________________ Homeroom: _________________________ Gr: ___

RTI Team Members: Please sign and state your role

Name Role in Mtg. Attendance

1. Present/Absent

2. Present/Absent

3. Present/Absent

4. Present/Absent

5. Present/Absent

Parent Signature: ___________________________________________ Date:_____________________

Notes:

Roles and Reasons for attending were discussed: Yes ____ No _____

What is RTI? Why are we here today discussed: Yes ____ No _____ RTI Brochure Given to Parent: Yes

Test Score Data discussed: Universal Screens, Formative Assessments, Common Assessments

AIMSWeb Data Reviewed: Highlights, Things we noticed

Test of Early Lit. LNF ___ LSF ___ PSF ___ NWF ___ RCBM __________ MAZE __________

Test of Early Num. OC ___ NID ___ QD ___ MN ___ MCAP __________ MCOMP ________

Other Notes:

Screenings Results: Vision: P F Hearing: P F Speech/Lang.: P F

Next Steps:

What will we do? Who will do it?

1.

2.

3.

Progress Monitoring Level: Weekly 2x monthly Monthly By whom? ___________________

(Circle One)

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Current RTI Tier: 1 2 3

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