8/4/14 MC
Tier 2 Academic Response to Intervention (RtI) Checklist for Interventionists
When?
Beginning of Year - Prior to
Fall Benchmarking
After Fall Benchmarking
Every 6-8 Weeks After
Interventions Begin
(depending on frequency
of intervention)
What?
Recommended Documentation
 Remove orange intervention files from cumulative folders
 Support grade level teams in reviewing orange files
 Support grade level teams in completing Tier 2 Worksheets as a
part of planning interventions for students identified at the end of
the previous year and others as needed
 Implement intervention for students identified at the end of the
previous year and others as needed
 Implement enrichment groups for students identified at the end
of the previous year and others as needed
 Determine PD needs for creating intervention groups, providing
intervention, intervention documentation, data analysis, providing
enrichment, differentiation, etc.
 Schedule & provide PD to support identified areas of need
 Schedule dates for grade level meetings to review Fall
benchmarking data and form intervention and enrichment groups
 Contact Michelle Coconate if support is needed in any of the
above areas
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 Meet with grade level teams to use data to form or reform
intervention and enrichment groups
 Complete or update intervention documentation: Tier 2
Worksheet and Integrity Form (attendance)
 Schedule dates for data review to occur 6-8 weeks after
inventions are implemented
 Support teachers in documenting student attendance in
enrichment groups
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 Meet with grade level teams to use data to make
intervention/enrichment decisions and verify
intervention/enrichment integrity
 Adjust groups as necessary
 Schedule date for next data review
 Agendas/Minutes
 Progress monitoring data
 Quarterly progress report for students with Differentiated
Education Plans (DEP)
 Documents that list students grouped by specific interventions
 Calendar of meeting dates
Orange Intervention files that include required information
Differentiated Education Plans (DEP)
Contact Log
Agendas/Minutes
Emails
Calendar of meeting dates
Agendas/Minutes
Documents that list students grouped by specific interventions
Tier 2 Worksheets
Intervention Integrity Form or other approved documentation of
participation (i.e. Corrective Reading Attendance)
 Calendar of meeting dates
8/4/14 MC
Tier 2 Academic Response to Intervention (RtI) Checklist for Interventionists
End of School Year
 Support grade level teams in analyzing data to determine
effectiveness of intervention for groups and individual students
and to make decisions (i.e. continue, discontinue, fade, modify,
etc.)
 Support grade level teams in analyzing data to determine
intervention integrity
 Support grade level teams in identifying students who will receive
intervention and enrichment at the beginning of the year
 Support grade level teams in updating orange files (see below)
and place them in each student’s cumulative folder or other
predetermined location (files must move with students within the
district)
 Tier 2 Worksheet (found on website under C & I/RtI)
 Intervention Integrity Form or other approved documentation of
participation (i.e. Corrective Reading Attendance)
 Documents that list students grouped by specific interventions
 Orange Intervention files that include required information
Differentiated Education Plan (DEP) for students receiving enrichment
(grades 5-7)
Orange Files: Follow the Transfer of Student Intervention Information procedure on found on pages 3-4 of the RtI Procedural Handbook on the District website.