RTI/STUDENT INTERVENTION TEAM CONFERENCE FORM Follow-up Meeting # _____ Student Teacher Grade Meeting date DOB UPDATE OF ONGOING INTERVENTIONS/RESULTS BASED ON THIS REVIEW, THE SIT TEAM HAS DETERMINED THAT: ACTIONS/RECOMMENDATIONS PERSON RESPONSIBLE 1. Achievement is noted; continue with interventions, strategies, accommodations or modifications TIMELINE ____________ ______ 2. Implement additional interventions. Review Possible Solutions and/or brainstorm additional solutions to implement. Record additional interventions on the Ongoing Intervention Record. ______ ______ 3. A disability is not suspected and the student will not be evaluated. Prior Written Notice completed and sent to the parent. (Meeting #2 or later) ______ ______4. Request more information/screenings (Meeting #2 or later) ______ _____ 5. Determine if the student is eligible for protection and/or an accommodation plan under Section 504. (Meeting #3 or later) ______ ______6. Refer to Exceptional Student Education to determine if student qualifies for services as a child with a disability.(Meeting #3 or later) ______ Complete an Evaluation Review/Compliance Check Request form and use as cover sheet to send packet to the ESE Office for ESE compliance check. Next meeting scheduled for ______________________________ (date). SIGNATURES Name Position Date revised 10-2010