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Suported by the Goal Team Structure
Click on the title of the needed form
Tier I  - GENERAL EDUCATION
Activity/Time Frame  Description

Form

(Form numbers in italics are a repeat of a form previously listed.)
Responsible Person

A.  Universal (General) 
Screening -

Beginning Data Collection 
and Development

 

ALL Students

1.  Conduct health, vision and hearing
screening

 I.A.1.a   Student Health History – Eng and Span

 I.A.1.b   Vision and Hearing Screening Form
Parent, School Nurse

2.  Conduct language proficiency and 
dominance assessments and determine placements

 I.A.2.a    Home Language Survey (Elementary) - Form A - Eng. and Span.

I.A.2.b    Program Placement Form (Elementary) - Form B - Eng. and Span.

I.A.2.c    Bilingual Program Waiver (Elementary) - Form C - Eng. and Span.

I.A.2.d    Spanish to English Transition Referral - Form D

 I.A.2.e    Exit from Transitional Stage Recommendation  - Form E

 I.A.2.f    Home Language Survey (Secondary) - Eng. and Span.

 I.A.2.g   Placement Notice (Secondary) - Eng. and Span.

 I.A.2.h   PAL Program Waiver (Secondary )

 I.A.2.i    Teacher Language Observation Form  (Elementary)

 I.A.2.j    Elementary to Middle School Placement Referral

 I.A.2.k   Middle to High School PAL Placement Referral

 I.A.2.l    GISD PAL Entry/Change of Status/Exit Form

               NMELPT

               Woodcock-Munoz

               NMELPA
Bilingual Team
3.  Create student profiles and develop instructional strategies                      Student NMSBA Benchmark Profiles ((Must include Beginning Step and Nearing  Proficiency students) Teacher
4.  Develop Academic Improvement Plans

I.A.4.a   Academic Improvement Plan (Elementary.) - English

I.A.4.b   Academic Improvement Plan (Elementary.) - Spanish 

I.A.4.c   Academic Improvement Plan (Middle School) - English

I.A.4.d   Academic Improvement Plan (Middle School) - Spanish

 I.A.4.e   Academic Improvement Plan (High School) - English

I.A.4.f   Academic Improvement Plan (High School) - Spanish

Teacher
5.  Track attendance SASI individual student attendance reports Teacher/data clerks

Tier I (cont’d)

B.   Instruction and Universal/General Interventions:

 

         All Students

1.  Instruction using general interventions as necessary (i.e., “good teaching”)

  •      Balanced Literacy Continuum   (K-8)
  •     GMI Continuum (K-Algebra II)

with assistance from:

  •   Teacher Assistance Team (TAT)
To assist teachers in accessing    resources, including on-line resources

            Reading Continuum Folder   (Folder consists of existing documents)

I.B.1.a   Student Analysis Form - Elementary

I.B.1.b   Student Analysis Form - Middle School 

              GMI Continuum Folder

I.B.1.c   Record of Interventions - Mathematics

               Pre-Referral Intervention Manual (PRIM) - Hawthorne Press

              Attention Deficit Disorders (ADD) Intervention Manual

I.B.1.d  Internet Intervention Resources - compiled by district staff

I.B.1.e   Possible IEP Modifications

Teacher

RPTs

MPTs

C.  Transition to

      Tier II:

    Selected Students Grades 4 - 9 at  Beginning Step or Nearing Proficiency (use May DRA scores for incoming 4th graders); Grades 10 - 12 <175 on NMHSCE (use 9th grade AYP scores for incoming 10th graders)

1. Transition to Tier II Interventions

  • Balanced Literacy Intervention (K-3)
  •   Read 180 (4-9) 
  • (Math) Success Tracker (K-8) - Spring, 2008
  •   Compass Learning - Reading, Writing, Math (9-12)
Short-Cycle Assessment Data (at least 3 times during the school year) Program Staff
Tier II
Tier III
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