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Sacramento City Unified School District CHILD DEVELOPMENT DEPARTMENTPreReferral Checklist for Behavior Support Child:Classroom:Teacher: Specific Concern:Date:General Checklist I have a schedule for
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How to fill out pre-referral checklist for behavior

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How to fill out pre-referral checklist for behavior

01
To fill out the pre-referral checklist for behavior, follow these steps:
02
Gather all relevant information about the student's behavior, including observations, incident reports, and any previous assessments or evaluations.
03
Review the checklist form and familiarize yourself with the specific areas and criteria that need to be assessed.
04
Start by providing basic information about the student, such as their name, grade, and teacher's name.
05
Go through each behavior listed on the checklist and mark the appropriate response or rating based on your observations and documentation.
06
Include any additional comments or notes in the designated space provided.
07
Once you have completed the checklist, review it carefully to ensure accuracy and completeness.
08
Submit the filled-out checklist to the appropriate administrative or support staff for further action or consideration.
09
Keep a copy of the completed checklist for your records and future reference.

Who needs pre-referral checklist for behavior?

01
The pre-referral checklist for behavior is typically used by educators, school psychologists, counselors, or other professionals working with students who display challenging behaviors.
02
It is a valuable tool in the early identification and assessment of behavioral issues in students, helping guide intervention strategies and support planning.
03
The checklist can be used for students of various age groups and grade levels, from elementary school through high school.
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