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RTI Referral Checklist
Referral
o Identify your primary concern(s) (measurable and observable)
o Refer to Initial Referral: Prior Interventions Checklist (in your Referral packet) for ideas to try
prior
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How to fill out rti referral checklist pre-referral

How to fill out RTI referral checklist pre-referral:
01
Start by obtaining the RTI referral checklist pre-referral form. This form can usually be obtained from the school or educational institution's special education department.
02
Begin by filling out the basic student information, such as the student's name, date of birth, and grade level. Make sure to double-check the accuracy of this information.
03
Next, provide details about the reason for referring the student for RTI. This may include academic concerns, behavioral issues, or other areas of concern. Be as specific as possible in describing the concerns.
04
The form may include sections to gather information from different stakeholders, such as teachers, parents, and other professionals. Provide their contact information and indicate their relationship to the student.
05
In each section, provide detailed information and examples of the student's performance or behavior that supports the need for a referral. Use specific anecdotes or incidents to illustrate the concerns.
06
If there have been any previous interventions or accommodations attempted, document them in the appropriate section. Include information about the effectiveness of these interventions and any ongoing concerns.
07
Make sure to read and follow any instructions or guidelines provided on the form. This will ensure that you are providing all the necessary information and completing the form correctly.
Who needs RTI referral checklist pre-referral:
01
Teachers: Teachers who have concerns about a student's academic or behavioral performance may need to complete the RTI referral checklist pre-referral. This checklist helps initiate the process of identifying and addressing the student's needs through RTI interventions.
02
Parents: Parents who have concerns about their child's academic or behavioral progress may need to fill out the RTI referral checklist pre-referral. This allows them to formally request support and intervention for their child within the RTI framework.
03
School administrators: School administrators, such as principals or special education coordinators, may also need to use the RTI referral checklist pre-referral. They may review and assess the submitted checklists to determine whether further interventions or evaluations are needed for the student.
Overall, the RTI referral checklist pre-referral is necessary for anyone involved in the educational process who believes a student may benefit from RTI interventions. It helps to document and provide evidence of concerns and guide the next steps in addressing the student's needs.
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What is rti referral checklist pre-referral?
RTI referral checklist pre-referral is a document used to gather information about a student who may need additional support or services.
Who is required to file rti referral checklist pre-referral?
Teachers, school counselors, and other school staff members are required to file rti referral checklist pre-referral when they suspect a student may need additional support.
How to fill out rti referral checklist pre-referral?
RTI referral checklist pre-referral can be filled out by documenting the student's behavior, academic performance, and any interventions that have already been tried.
What is the purpose of rti referral checklist pre-referral?
The purpose of rti referral checklist pre-referral is to gather information about a student's needs and determine the appropriate support or services.
What information must be reported on rti referral checklist pre-referral?
Information such as the student's name, grade level, behavior concerns, academic performance, and interventions tried must be reported on rti referral checklist pre-referral.
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