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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