KENTUCKY CENTER FOR INSTRUCTIONAL DISCIPLINE
DISTRICT READINESS CHECKLIST
District: _____________________________________Date: __________ District Coordinator: ___________________KYCID Area Coordinator_______________________
Items to Complete
Check when in place
or anticipated date of
completion:
1. The District contacts KYCID to express their interest in PBIS. The District is encouraged to research on-line resources,
and introductory documents at www.kycid.org. Additional information can be found on www.pbis.org
Date of initial contact to KYCID:______________________________________________________________________
Date District representatives viewed PBIS overview video:___________________________________________________
2. A KYCID Area Coordinator (AC) will contact a District representative to begin the process of ensuring that all of the
requirements of the District Readiness Checklist are completed. During this process, the District will identify one
or more staff to fulfill the roles of District Coordinator and District Coach.
Date of initial meeting:________________________________________________________________________________
Date of full compliance:_______________________________________________________________________________
3. The district has identified a PBIS District Coordinator (i.e., lead contact) and a PBIS District Coach. See the attached
job descriptions for the District Coordinator (Appendix A) and District Coach (Appendix B).
District Coordinator:__________________________
District Coach:______________________________
Position:_____________________________________
Position:_________________ FTE Assigned_______
Office Phone:_________________________________
Office Phone:_________________________________
Email:_______________________________________ Email:_______________________________________
Kentucky Center for Instructional Discipline 33 Fountain Place
Frankfort, Kentucky 40601 Telephone: 502. 223. 9932 Fax: 502. 223. 9932 Website: www.kycid.org
Adapted from SW PBS Readiness Checklist 1.14.05 doc – Florida’s PBIS Project at USF and Illinois PBIS Network Individual School Readiness Checklist
4. A PBIS District Leadership Team is formed that has broad representation of the school district. Examples of districtwide team members include: district superintendent or designee, special education, instruction and curriculum, safe
and drug free schools, transportation, family resource, school psychology and counseling, school principal(s),
dropout prevention, alternative programs, data/information management, and parents. The District Leadership
Team will commit to quarterly meetings and will support PBIS efforts in terms of coordination, training capacity,
funding, visibility, political support, coaching capacity, and evaluation. In some districts, individuals may serve in
multiple roles on the team. For example, districts with few schools implementing may combine coach/coordinator.
District Leadership Team Members
Name
Position
1.
Superintendent/designee
2.
District PBIS Coordinator
3
District PBIS Coach
4.
Discipline Data Coordinator
5.
6.
7.
8.
9.
10.
11.
FRYSC Director
12.
Parent
District Leadership Team Meeting Dates
Year:
1st Quarter:
2nd Quarter:
Email
3rd Quarter:
4th Quarter:
5. The District Team attends a 2-hour PBIS Overview and Planning session conducted by KYCID.
Date District Team participated in the PBIS Overview and Planning session:____________________________________
6. The district has allocated/secured funding (i.e., school improvement, safe and drug free schools, other
school/community resources) to support the PBIS initiative for a minimum of five years.
Funding sources that will be used:_________________________________________________________________
Kentucky Center for Instructional Discipline 33 Fountain Place
Frankfort, Kentucky 40601 Telephone: 502. 223. 9932 Fax: 502. 223. 9932 Website: www.kycid.org
Adapted from SW PBS Readiness Checklist 1.14.05 doc – Florida’s PBIS Project at USF and Illinois PBIS Network Individual School Readiness Checklist
7. PBIS is identified as one of the district goals for school improvement and language is included in the CDIP.
Attach a copy of Comprehensive District Improvement Plan indicating goals or objectives related to PBIS implementation.
8. Review the Data-Based Decision Making statement. KYCID requires the use of School Wide Information System
(SWIS) as a school-based discipline data tracking system unless schools apply for and receive an exemption to the
use of SWIS as outlined in the Data-Based Decision Making statement mentioned above.
It should be noted that SWIS is not intended or capable of replacing or duplicating the breadth of a district’s
school-wide information system through Infinite Campus. It is only designed for discipline data.
Schools must either subscribe to SWIS or apply for and be granted an exemption from SWIS.
Schools will be asked to provide documentation of SWIS subscription payment if not granted an exemption. Continued
participation in PBIS professional development is contingent upon subscription to SWIS or exemption being granted by
KYCID.
9. The PBIS District Coordinator and/or District Coach will contact the principals of those schools planning to implement
PBIS and assist them in the completion of the Individual School Readiness Checklist and Commitment to Success
Agreement Form.
School
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
SWIS Subscription or Exemption Granted
Date Completed
Kentucky Center for Instructional Discipline 33 Fountain Place
Frankfort, Kentucky 40601 Telephone: 502. 223. 9932 Fax: 502. 223. 9932 Website: www.kycid.org
Adapted from SW PBS Readiness Checklist 1.14.05 doc – Florida’s PBIS Project at USF and Illinois PBIS Network Individual School Readiness Checklist
10. Each school must have an individual assigned to the role of PBIS Coach (See job description - Appendix C). The
PBIS Coaches commit to participate in the PBIS sequence of coaches’ training.
Internal Coaches
Name
1.
2.
3
4.
5.
6.
7.
8.
9.
10.
School
Position
Email
11. The District Coach commits to convening quarterly meeting with PBIS coaches to discuss progress to date and other
PBIS topics.
Dates of Quarterly Meetings:
Year:
1st Quarter:
2nd Quarter:
3rd Quarter:
4th Quarter:
Kentucky Center for Instructional Discipline 33 Fountain Place
Frankfort, Kentucky 40601 Telephone: 502. 223. 9932 Fax: 502. 223. 9932 Website: www.kycid.org
Adapted from SW PBS Readiness Checklist 1.14.05 doc – Florida’s PBIS Project at USF and Illinois PBIS Network Individual School Readiness Checklist
Appendix A
Kentucky Center for Instructional Discipline
DISTRICT COORDINATOR JOB DESCRIPTION
The following responsibilities are conducted within the structure of the District PBIS Leadership Team. The District PBIS Coordinator is
typically a central office administrator who has the authority to perform these responsibilities. The District PBIS Coordinator needs to have a
good understanding of the 3-Tier Model, an operational knowledge of all tiers of PBIS, and an operational knowledge of data-based decisionmaking as it applies to PBIS. The District PBIS Coordinator is responsible for completing or assigning all responsibilities listed below.
1. Convene and conduct regularly scheduled meetings of the District PBIS Leadership Team
2. Facilitate District strategic/action planning for PBIS
3. Ensure that PBIS is consistent with the Comprehensive District Improvement Plan and Comprehensive School Improvement Plans
4. Develop district budget for PBIS
5. Make presentations to the District Board of Education on the status of PBIS in the District
6. Develop a process for recognizing schools for their accomplishments with PBIS.
7. Facilitate the development and maintenance of a district website for PBIS
8. Develop a system and schedule of staff development for PBIS
9. Facilitate the sustainability and expansion of PBIS in the District
10. Support attendance of District staff at PBIS Trainings and conferences
11. Facilitate visibility of PBIS within the District and in the community
12. Act as a liaison between the District Leadership Team and the Board of Education
13. Attend District Coaches’ meetings
14. Provide support to the District Coach and school PBIS Coaches
15. Collaborate and meet regularly with the District Coach
16. Keep the Superintendent abreast of the progress of, and barriers to, implementing PBIS within the district
17. Work collaboratively with Principals to ensure that PBIS is being implemented with fidelity.
18. Facilitate the “working smarter” concept of PBIS by helping to blend PBIS with other similar District initiatives.
Kentucky Center for Instructional Discipline 33 Fountain Place
Frankfort, Kentucky 40601 Telephone: 502. 223. 9932 Fax: 502. 223. 9932 Website: www.kycid.org
Adapted from SW PBS Readiness Checklist 1.14.05 doc – Florida’s PBIS Project at USF and Illinois PBIS Network Individual School Readiness Checklist
Appendix B
Kentucky Center for Instructional Discipline
DISTRICT COACH JOB DESCRIPTION
JOB GOALS:
1.
2.
3.
4.
5.
Expand and sustain implementation of PBIS throughout assigned schools
Support the efforts of school PBIS Coaches to ensure fidelity and sustainability of implementation
Assess training needs and connect with KYCID Area Coordinator for support and assistance
Support research for PBIS and provide technical assistance to PBIS teams
Collaborate with KYCID to connect students, families, service organizations, and schools to meet student and family needs
QUALIFICATIONS:
1. Experience and training with PBIS including school-wide, classroom, and individual plans
2. Computer skills to create graphs from data
3. Ability to support multiple schools and not on staff at those buildings
PERFORMANCE RESPONSIBILITIES:
1.
2.
3.
4.
Participate in District and building level team meetings
Identify schools, obtain administrative support, help schools identify team members for initial training
Become familiar with district’s and/or schools’ policies/procedures (i.e., handbooks, budgets, staff development)
Support building level team meetings by providing technical assistance (i.e., meeting dates, calendar tasks, agenda, communication with staff
and others, assist with action plan development)
5. Provide ongoing support and technical assistance to PBIS coaches through District level Coaches’ meetings
6. Oversee progress of district teams (i.e., faculty, team, district and principals)
7. Ensure school-wide data collection systems are established
8. Collect required data from schools and forward to KYCID Area Coordinator, as needed
9. Collaborate with Area Coordinator to obtain survey data from PBIS Assessment
10. Provide technical assistance on school-wide data analysis
11. Assist schools in sustaining PBIS
12. Participate in statewide, regional, and national trainings for PBIS, as available and appropriate
13. Provide school-based trainings in collaboration with KYCID Area Coordinator
Kentucky Center for Instructional Discipline 33 Fountain Place
Frankfort, Kentucky 40601 Telephone: 502. 223. 9932 Fax: 502. 223. 9932 Website: www.kycid.org
Adapted from SW PBS Readiness Checklist 1.14.05 doc – Florida’s PBIS Project at USF and Illinois PBIS Network Individual School Readiness Checklist
Appendix C
Kentucky Center for Instructional Discipline
SCHOOL COACH JOB DESCRIPTION
JOB GOALS:
1. Attend and monitor PBIS Trainings with team
2. Ensure that PBIS is implemented with integrity in their building
3. Communicate with the CSIP committee or member of CSIP committee
QUALIFICATIONS:
1. Work in the building or within the building as a district-level employee
2. Know the research and practices related to school-wide behavioral support, including applied behavior analysis, and has ability to use a variety of
observational and interviewing skills
3. Computer skills to create graphs from data
4. Complete Tier 1 Prevention Training sequence with the team
5. Attend all Coaching trainings (no more than 2 per year)
6. Promote shared decision-making but has the authority to initiate change (i.e., works closely with administrator/decision maker)
7. Two- to three-year commitment
COORDINATE WITH TEAM MEMBERS THE FOLLOWING:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Data collection in building (i.e., big five and academic data)
Ensure expectations are taught, reinforced, and monitored at the school-wide level
Celebrations/boosters
Facilitation of monthly Tier 1 Team meetings, including creating an agenda
Communication of PBIS activities at faculty meetings
Collect and analyze PBIS specific data (i.e., Team Implementation Checklist (TIC), BoQ, SAS, etc.)
Communicate with parent/parent liaison/PTA/PTO
Annual report shared with District Team (i.e., District Leadership Team, Board of Education)
Network with other PBIS coaches and KYCID Area Coordinators
POSSIBLE INCENTIVES:

Stipend; No homeroom assignment; Time in lieu of other assigned duties; Floating sub; Additional prep period
Kentucky Center for Instructional Discipline 33 Fountain Place
Frankfort, Kentucky 40601 Telephone: 502. 223. 9932 Fax: 502. 223. 9932 Website: www.kycid.org
Adapted from SW PBS Readiness Checklist 1.14.05 doc – Florida’s PBIS Project at USF and Illinois PBIS Network Individual School Readiness Checklist