SAT KINDERGARTEN At Risk Academic I Intervention Process
(SAT Form KARA 1)
Student Name: ______________________ Teacher: _____________________
Grade__________________
DOB:______________________ Student ID:_____________
ParentName/Number:______________________________________________________________
Person
Responsible
Action
Refers student to SAT team
Referring Party
**If student is an ELL student, refer to BICS AND CALP page in References Section of LCPS SAT Manual for
language support
To School Nurse:
Print and fill out the Vision/Hearing Screening (SAT Form LCPS VHS)
To Parents:
Print Case History for Initial Academic Referral (SAT Form Academic CH)
SAT Team
From Teacher:
Gather data





Discovery, DRA, EDL, and/or student samples of work
Student’s Home Language Survey (found in cumulative folder)
Behavioral or disciplinary referrals, if any
Medical / health information, if any
Social worker or counselor information, if any
Schedule a SAT meeting
SAT Lead
Send out Invitation to SAT Meeting (SAT Form ITM) to parents and teacher
Referring Party
At the meeting
SAT Team
Analyze student data:
 Discovery, DRA, EDL, and/or student samples of work
 Student’s Home Language Survey (found in cumulative folder)
 Behavioral or disciplinary referrals, if any
 Medical / health information, if any
 Social worker or counselor information, if any
 Case History from parents
 Vision and hearing
Together as a team complete a Student Academic Improvement Plan. Be sure to include
how interventions will be assessed.
Parents
Is speech an issue? See SAT Speech Referral Checklist
Is language an issue?
If so, please consult with building SLP to prescribe interventions for possible
language issues.
If the applied interventions are ineffective, consult with SLP to determine if a Prereferral Speech and Language Checklist (SLP will provide from Hawthorn) are
needed. SAT plan will prescribe next cycle to include interventions from SLP
recommendation.
If interventions have been applied and don’t work, complete a Request for Speech
Screening (SAT Form SLS in Appendix) and give to Speech and Language
Pathologist. Send Permission for Consent to Screen/Observe (SAT Form PC1)
to parents.
 Is an observation needed? If so, Print and fill out Permission for Consent to
Screen/Observe (SAT Form PC1). Obtain parent signature. Print Student
Observation (SAT Form SO) and give to administrator after parent permission has
been given.
 Schedule next meeting to revisit prescribed interventions and analyze success.
After Meeting:
 Put a copy of AIP in a yellow folder in Cum.
 Give copies to staff who interact with student.
At next meeting:
Referring Party
Referring party will provide updated student data (observation, current CFA’s, Discovery,
etc.)
SAT
SAT will determine whether interventions should be continued or if new interventions should
be prescribed.
Referring Party
SAT
If after sufficient “learning” time and cycle interventions have taken place and the student is
showing no progress, then SAT should determine if student should be referred to SAT
Academic I.