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3285 E. Sparrow Avenue Flagstaff, Arizona (928) 5276000 Fax (928) 5276015PERMISSION FOR FUNCTIONAL BEHAVIOR ASSESSMENT (FBA)Date: ___Grade: ___Student: ___ Parent/Guardian: ___ FUSD1 would like to
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Identify the areas of need for the student, such as social skills, academic support, or behavioral interventions.
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Develop a plan that outlines specific goals and objectives for the student's support services.
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Collaborate with teachers, parents, and other school staff to ensure the plan is implemented effectively.
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Monitor the student's progress and make adjustments to the plan as needed.
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Provide ongoing support and guidance to the student to help them reach their goals.

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Students who require additional support in areas such as social skills, academics, or behavior.
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Students who may be at risk of academic failure or behavioral issues.
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Students with disabilities or special needs who require individualized support services.
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Students who may benefit from targeted interventions to improve their overall well-being and success in school.
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Student Support Services PBIS stands for Positive Behavioral Interventions and Supports, which is a framework for enhancing the adoption and implementation of a continuum of evidence-based interventions to achieve academically and behaviorally important outcomes for all students.
School administrators and educators are typically required to file Student Support Services PBIS.
Student Support Services PBIS can be filled out by following the guidelines provided by the school district or educational institution.
The purpose of Student Support Services PBIS is to create a positive school climate, improve student behavior, and increase academic performance through proactive strategies.
Information reported on Student Support Services PBIS may include data on behavior incidents, interventions implemented, and student outcomes.
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