New York State Response to Intervention Technical Assistance Center RTI TIERED DESCRIPTOR 1. 1.) School District: List the name of the school district. 2. 2.) School Building: List the name of your school. 4. 3.) Year: Indicate current school year. 4.) Program Options: Indicate all programs you currently use for each tier at each grade level in literacy. Note: If using a guided reading program or balanced literacy approach, please include how time is spent within the literacy block. 5.) Interventionist: Indicate which school personnel facilitates this intervention at each tier and at each grade level. 6.) Frequency: Indicate how many times per week. 7.) Duration: Indicate number of minutes per session. 8.) Fax (716) 878-5410 or email completed form to NYS RtI TAC (janczak@nysrti.org) RtI Tiered Descriptor School District: _________________________________________ School Building __________________________________________ Year: ____________ TIER 1 Example K Program Options: - Open Court (SRA-McGraw Hill) - Leveled Books Interventionist: - General Education teacher Frequency: - 5 times per week Duration: - 90 minutes per session TIER 2 Program Options: - Corrective Reading - Road to the Code - Ladders to Literacy Program Options: - Language for Learning - Fast ForWord Language - Barton Reading System Interventionist: - General Education - Reading teachers Interventionist: - Special Education - Reading specialists - Speech and language therapist Frequency: - 2 – 3 times a week Duration: - 15 - 20 minutes a day Example Program Options: - Open Court (SRA-McGraw Hill) - Leveled Books Interventionist: - General Education teacher 1 TIER 3 Program Options: - Corrective Reading - Foundations - Read Well Interventionist: Frequency: - 5 times per week - General Education - Reading teachers Duration: - 90 minutes per session Frequency: - 2 – 3 times a week; Duration: - 20 – 30 minutes a day Frequency: - 4 – 5 times a week Duration: - 20-30 minutes a day Program Options: - Fast ForWord - Barton Reading System - Fluency Formula - Read Well Interventionist: - Special Education - Reading specialists - Speech and language therapist Frequency: 4 -5 times per week; Duration: - 30 – 45 minutes a day Fax (716) 878-5410 or email completed form to NYS RtI TAC (janczak@nysrti.org) School District: _________________________________________ School Building __________________________________________ Year: ____________ RtI Tiered Descriptor TIER 1 K 1 2 3 4 5 TIER 2 TIER 3 Program Options: Program Options: Program Options: Interventionist: Interventionist: Interventionist: Frequency: Frequency: Frequency: Duration: Duration: Duration: Program Options: Program Options: Program Options: Interventionist: Interventionist: Interventionist: Frequency: Frequency: Frequency: Duration: Duration: Duration: Program Options: Program Options: Program Options: Interventions: Interventions: Interventions: Frequency: Frequency: Frequency: Duration: Duration: Duration: Program Options: Program Options: Program Options: Interventions: Interventions: Interventions: Frequency: Frequency: Frequency: Duration: Duration: Duration: Program Options: Program Options: Program Options: Interventions: Interventions: Interventions: Frequency: Frequency: Frequency: Duration: Duration: Duration: Program Options: Program Options: Program Options: Interventions: Interventions: Interventions: Frequency: Frequency: Frequency: Duration: Duration: Duration: Fax (716) 878-5410 or email completed form to NYS RtI TAC (janczak@nysrti.org)