School-wide Positive Behavior Support



WV SWPBS School Readiness Checklist

Requesting Training/Retraining for WV SWPBS Core Team

School: _____________________________ Date: ___/___/___ Contact Person: _______________________________

|Documents/Evidence |Complete and Submit to fclark@access.k12.wv.us. |

|Complete? | |

|YES ( NO |1. A school representative has been identified as the PBS School Coordinator (i.e., lead contact) for all PBS initiatives within your school. |

| |List the school’s representative and provide contact information (name, title, address, phone, cell, fax, e-mail) |

| | |

|YES ( NO |2. The assigned administrator of the school has participated in the Administrator’s presentation and has submitted the initial application. |

| |Date initial application submitted__________. |

| |Format initial application submitted (Check each that applies) ____ Faxed ____ US Mail ____ E-Mailed |

|YES ( NO |3. The school’s WV SWPBS Team is formed and has broad representation (including regular and exceptional student education, student support services, personnel |

| |preparation, curriculum and instruction, management information systems, safe and drug free schools, school improvement, transportation, etc.). |

| |List team members and identify roles: |

| | |

| | |

| | |

| | |

|YES ( NO |4. The school’s WV SWPBS Team commits to attend the scheduled trainings and participate in update meetings to discuss progress to date. |

| |Describe when you meet or plan to meet (days, location, and time) throughout the school year and attach a copy of at least one agenda: |

| | |

|YES ( NO |5. School has allocated/secured funding to support the school-wide initiatives in their respective schools (e.g., School Improvement, Safe and Drug Free Schools, other |

| |school/community resources). |

| |Identify funding source(s) that will be utilized: |

|YES ( NO |6. School-wide discipline (i.e., school climate, safety, behavior, etc.) is identified as one of the top 3 strategic goals for the school. |

| |Attach a copy of school strategic goals or letter of support from Superintendent’s office. |

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