PENNSYLVANIA POSITIVE BEHAVIOR SUPPORT NETWORK
PAPBS Network
Local Facilitator Application Guide
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Table of Contents
Overview ...................................................................................................................................................... 3
Pennsylvania Community of Practice on School Based Behavioral Health ............................................. 3
Pennsylvania Positive Behavior Support (PAPBS) Network ................................................................... 3
On-Boarding PAPBS Local Facilitators ................................................................................................... 3
Note: Disclaimer ................................................................................................................................... 4
Eligibility Criteria ........................................................................................................................................ 4
Employer Authorization............................................................................................................................ 5
Applicant Qualifications ........................................................................................................................... 5
Applicant Assurances................................................................................................................................ 6
Application Submission Process ................................................................................................................... 7
Questions ...................................................................................................................................................... 7
Selection Process .......................................................................................................................................... 8
Additional Information ................................................................................................................................. 8
Appendix
Appendix 1 (Part A) ...................................................................................................................................... 9
Appendix 1 (Part B) .................................................................................................................................... 10
Appendix 2: PAPBS Facilitator Job Description ...................................................................................... 13
Appendix 3: Letter of Assurance ............................................................................................................... 15
Appendix 4.................................................................................................................................................. 16
Appendix 5.................................................................................................................................................. 17
Appendix 6.................................................................................................................................................. 18
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Overview
Pennsylvania Community of Practice on School Based Behavioral Health
The Pennsylvania Community of Practice (CoP) on School Based Behavioral Health (SBBH) is
comprised of representatives from the Pennsylvania Departments of Education, Health, and Public
Welfare in addition to individuals representing youth serving provider agencies, managed care
organizations, advocates, and youth and family members. Pennsylvania's CoP works collaboratively to
advance two shared strategies:
1) the scale-up of Positive Behavior Interventions and Supports (PBIS) in early childhood and
school-aged settings and
2) strategies by which to improve partnerships between county mental health service providers
and Pennsylvania's public schools.
Specific to the scale-up of PBIS, the CoP has established a voluntary network of cross-sector partners
who affiliate under what is known as the Pennsylvania Positive Behavior Support (PAPBS) Network.
Pennsylvania Positive Behavior Support (PAPBS) Network
The mission of the PAPBS Network is to advance the development of behavioral health support systems
in early childhood and school-aged settings in order to promote the academic, social, and emotional wellbeing of all Pennsylvania’s students. The Network’s goal is to ensure that all early childhood and schoolaged educators, families, and community members have access to training and technical assistance
necessary to assist learners in overcoming non-academic barriers to achievement.
The PAPBS Network is managed directly by members of Pennsylvania’s CoP on SBBH.
The
management structure of the Network includes Co-Directors, State-Level Coordinators, and Regional
PAPBS Facilitators. Local PAPBS Facilitators do not hold state-wide managerial responsibilities for the
Network. However, Local Facilitators have responsibility for supporting the training and technical
assistance needs of those implementing PBIS in early childhood and school-aged settings. Local
Facilitators are key members of the PAPBS Network and are essential to the scale-up of PBIS.
On-Boarding PAPBS Local Facilitators
The process of on-boarding Local Facilitators is crucial to the expansion of the PAPBS Network. Upon
acceptance into the Network, Local Facilitators are considered provisional until such time as they
complete the Network’s multi-step endorsement process. Provisional Local Facilitators must earn
independent status through endorsements on each of the following levels: Tier 1 (universal preventive),
Tier 2 (strategic intervention), and Tier 3 (intensive intervention). Local Facilitators are only considered
independent at the level(s) in which they have successfully completed the endorsement process and
remain provisional on levels in which their endorsements are not yet secured.
Thus, a Local Facilitator who is independent only on Tier 1 has the PAPBS Network’s
endorsement to provide training and technical assistance on universal prevention in child
serving programs or schools but is not yet endorsed by the Network to provide training
and technical assistance on strategic and intensive interventions. (See Appendix 4 for
more information on the Tier 1 endorsement process)
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In part, it is the role of the PAPBS Network’s State Coordinators and Regional Facilitators to coordinate
opportunities that enable Local Facilitators to matriculate from provisional to independent status, thus
earning Network endorsements at all three tiers of prevention and intervention.
It is expected that individuals making application to the PAPBS Network as a provisional Local
Facilitator are committed to completing all three levels of endorsement: universal prevention, strategic
intervention, and intensive intervention. It is only necessary for individuals to complete the application
and be accepted into the Network one time. Once provisionally accepted as a Local Facilitator by the
Network, individuals are expected to achieve independent status across all three tiers of prevention and
intervention.
At present, there is not status of limitation associated with matriculation of provisional Local
Facilitators through the Network’s multi-step endorsement process. Local Facilitators achieving
independent status at any of the three tiers of prevention or intervention will receive a signed letter of
endorsement from the PAPBS Network’s Co-Directors, specifying the level(s) at which the facilitator is
deemed independent to provide training and technical assistance in child serving programs or schools.
Once endorsed on any of three tiers of prevention or intervention, the PAPBS Network expects
Local Facilitators to maintain fidelity of training and technical assistance as defined by the Network. Any
training or technical assistance provided by Local Facilitators in child serving programs or schools that is
not in compliance with the Network’s core training curriculum may trigger the revocation of the
Network’s endorsement. Revocation of the Network’s endorsement may necessitate the need for Local
Facilitators to repeat portions of the endorsement process or, depending on the severity of the issues,
could lead to dismissal from the Network. (Policy and guidance on such issues will be forthcoming from
the PA CoP on SBBH.)
Note: Disclaimer
Acceptance into the PAPBS Network is strictly voluntary and does not imply a contractual
relationship between the Local Facilitator and the Network. The PAPBS Network does not assume
financial liability for payment of services provided by Local Facilitators in any settings. Moreover, the
PAPBS Network does not assume liability for services provided by Local Facilitators in any settings.
Eligibility Criteria
Individuals seeking to enter the PAPBS Network must verify they hold their employer’s authorization to
serve as a Local Facilitators (Appendix 1, Part A); possess experiences that positions the individuals to
be successful as Local Facilitator (Appendix 1, Part B); and meet the minimum educational and
employment requirements of a Local Facilitator (Appendix 2).
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Employer Authorization
(Appendix 1, Part A)

Individuals seeking to enter the PAPSB Network as provisional Local Facilitators are restricted to
professional personnel employed by an educational entity (e.g. school districts, intermediate units,
charter schools, approved private schools, non-public school and universities), child-serving
agency, or managed care organization within the Commonwealth of Pennsylvania. Independent
Contractors and Consultants are not eligible to apply.
o

Note: it is recommended that at least two individuals from a qualifying agency make
application to the PAPBS Network. When more than one individual from a qualifying
agency makes application to the PAPBS Network, one applicant from the agency needs to
be designated as the primary contact.
Individuals must submit evidence of employment qualifications, including their agency’s
authorization for their application to the PAPBS Network. Therein, individuals must have an
agency representative from their place of employment verify and endorse the following.

o
The applicant(s) have sufficient time allotted per the terms of their employment to attend
PAPBS trainings and meetings and provide training and technical assistance in childserving programs or schools, and
o
The applicant(s) holds the following clearances, which are on record in the agency’s
personnel files: Act 151 - Child Abuse Clearance, Act 33-34 - Criminal Clearance, and Act
114 or Section 6344 of Title 23, Pa. C.S. Chapter 63 FBI Clearances.
Individuals must submit, in addition to their application (Appendix 1 Parts A and B), two letters
of reference. (One letter of reference must be from the applicant’s employer).
Applicant Qualifications
(Appendix 2)

Individuals must be employed by, or have a contractual relationship with the Agency/ Educational
entity endorsing their application (Appendix 1, part A) assuring that sufficient time, support, and
resources are available for the applicants to adequately fulfill their role as Local Facilitators in the
PAPBS Network.

Individuals must hold a Master’s degree in education, educational administration, social work,
psychology, or related field or, a Bachelor’s degree in education, educational administration, social
work, psychology, or related field with five years’ experience in an educational and/or early
childhood setting.

Individuals seeking to operate as a Local Facilitator in an early-childhood setting (program-wide
facilitator) must hold or be eligible to attain Pennsylvania Quality Assurance System (PQAS)
certification.
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
Individuals must have a pre-established partnership with an independent, Tier 1 Local Facilitator
who agrees to provide mentoring and shadowing opportunities required of the applicant in
fulfillment of their endorsement process for Tier 1 independent status.
o
Individuals must submit, in addition to their application (Appendix 1, Parts A and B), a
letter of commitment from a PAPBS independent, Tier 1 Local Facilitator willing to
assume responsibility for the applicants’ mentorship*.


Appendix 6 provides a listing of PAPBS independent, Tier 1 Local Facilitators
willing to serve as a mentor for provisional Local Facilitators.
Individuals must have knowledge/prior direct experience in:
o
o
o
o
o
o
o
o
o
o
Training design and delivery, consistent with adult learning theory
Training adults
Partnering with families
Working with schools
Early Childhood settings (applicable to individuals seeking to work in early childhood
settings)
Measurement and evaluation of effective professional development
Coordinating and managing training details (registration process, budgets, informationsharing, evaluation, performance improvement, Act 48, etc.)
Program-Wide (early childhood)/ School-wide (school age) PBIS
Hi-Fidelity Wraparound and multiple systems perspectives
Data-based decision-making
Applicant Assurances
(Appendix 3)

Individuals must be willing to demonstrate understanding of the following:
o
o
o
o
o

The design and delivery of effective training in the PA Program-Wide (early childhood)/
School-wide (school age) PBIS framework
Utilize and train with the PAPBS curriculum for PBIS, as established by the State
Leadership Team on School Based Behavioral Health
Commitment to and understanding of the ongoing technical assistance and support needs of
early childhood and school-aged settings implementing PBIS
Effective interaction with people of various backgrounds
A variety of presentation skills for adult learners
Individuals agree to participate and comply with all requirements as set forth in the Letter of
Assurance (Appendix 3), which must be submitted along with their application (Appendix 1, Parts
A and B), their letter of reference, and their letter of commitment from a PAPBS independent, Tier
1 Local Facilitator*.
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Application Submission Process
Applications for PAPBS Network Local Facilitators will be accepted annually or as determined by the
Networks’ Co-Directors. In order to be considered as an applicant, individuals must view an orientation
webinar, either live or asynchronously, prior to submission of application. Information concerning any of
the orientation webinars, in addition to relevant application submission schedules, will be posted on the
PAPBS website: www.papbs.org.
Individuals must indicate on their application whether they are applying to be a Program-Wide (early
childhood) and/or School-wide (school age) Local Facilitator. If individuals are applying for acceptance
into the network as facilitators of both Program-Wide and School-Wide PBIS, applicants must complete
all questions designated on the application applicable to early childhood and school-aged programming.
Additionally, such applicants are also required to submit two letters of commitment, once each from an
Independent Local Facilitator of Program-wide PBIS and School-wide PBIS*.
Materials to be submitted when applying to become a PAPBS Network Facilitator include:
 Employer Authorization (Appendix 1, Part A)
 Facilitator Application (Appendix 1, Part B)
 Resume/ vita
 Letter of Assurance (Appendix 3)
 Letter(s) of Commitment*
 Two Letters of Reference (of which one need to be from the applicant’s employer)
All application materials need to be submitted electronically to Marie Bozelli at: c-mbozelli@pa.gov.
Questions concerning the application and submission process may be directed to Marie Bozelli at
c-mbozelli@pa.gov or (724) 284-9183.
Questions
Please contact any of the following individuals with any additional questions concerning the application
process.

For applicants seeking to operate as a Local Facilitator of School-wide PBIS
o
o
o

PaTTAN Pittsburgh: Kathryn Poggi, 1-800-446-5607, ext. 6857 or kpoggi@pattan.net
PaTTAN Harrisburg: Tracy Ficca, 1-800-360-7282 ext. 3415 or tficca@pattan.net
PaTTAN King of Prussia: Tina Lawson, 1-800-441-3215, ext. 7254 or tlawsonpattan.net
For applicants seeking to operate as a Local Facilitator of Program-wide PBIS**
o
o
o
Western Region: DeVoka Gordon, 412-826-2336, ext. 6832 or dgordon@pattan.net
Central Region: Mike Brink, 814-441-2481 or mbrink@pattan.net
Eastern Region: Julia Slater, 412-826-2336,ext. 6898 or jslater@pattan.net
(**Note: Applications for Program wide Facilitators are not being accepted at this time.)
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Selection Process
Applications will be reviewed by members of the PAPBS Network State Coordination Team (SCT) and
recommended to the State Co-Directors committee for final approval.
Decisions regarding applications will be made within a month of the application deadline.
If accepted as a Local Facilitator in the PAPBS Network, new provisional facilitators are required to:





Participate and complete all training required of Local Facilitators
Complete the PAPBS multi-step endorsement process as established by the SLT on SBBH
Adhere to requirements listed in Letter of Assurance (Appendix 3)
Shadow their mentoring independent Local Facilitator per the requirements of their Tier 1
endorsement process (Appendix 4 and 5)
Collect and submit data to the Network for evaluation purposes
Additional Information

If a Local Facilitator leaves the agency for which this application has been made, the agency
(employer) may be requested to identify another applicant for the PAPBS Network. Said
applicants will be required to apply to the Network for acceptance and will be subject to all
criteria defined herein.

Local Facilitator’s PAPBS endorsements are not transferable between agencies
o Local Facilitators who are no longer employed by the agency for which they applied to the
Network cannot transfer their endorsement.
o Local Facilitators who have a chance in employment status are required to re-apply to the
Network and will be subject to all criteria defined herein.

Applicants to the PAPBS Network may be prioritized in areas of the Commonwealth where there
is the greatest need for Local facilitators.
o If Individuals meets the application requirements but there is not a need for additional
Local Facilitators in the applicants’ geographic catchment areas, the individuals will be
notified and placed on hold until there is a need to increase the number of PAPBS Local
Facilitators in the defined catchment area.
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Appendix 1 (Part A)
Employer Authorization
Educational entity/ Agency name: __________________________________________
Agency director ( Name)_______________________________________________
Designated Agency Facilitator contact: ____________________________________________
(When more than one agency personnel is applying to be or is a facilitator, Please indicate which facilitator is considered the
Agency’s main contact.)
Indicate type of agency / educational entity.
Intermediate unit
Social Service Provider agency
Managed Care Organization
Higher Education
Other(list)_______________________________________________
Counties the educational entity/ agency works in:______________________________________________
Work Address: Street__________________________ City:_____________
County:___________ State: PA Zip code____________
Work Phone:_________________ Extension:______
Fax:_______________
Email address:_____________________
The agency’s letter of support for each facilitator’s applicant is attached to this application : YES_____ NO____
How will this employee be provided time to participate in training and mentoring activities?
As the Agency representative, I ensure that our designated Facilitator(s) has sufficient time allotted in their job
duties to attend required trainings, mentoring, facilitation, meetings, and perform tasks associated with training,
facilitation, and coordination when working with an educational entity to implement School-wide and/or Programwide PBIS.
Education Entity/ Agency representative :___________________________________
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Date__________________
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Appendix 1 (Part B)
PAPBS Local Facilitator Application
Facilitator application: Each individual applicant must complete and submit along with the Employer
Authorization (Appendix 1 Part A)
Name:_________________________________________________________________________
Educational Entity/ Agency name:____________________________________________________
Please check which Facilitators level you are applying for: Preschool- K :______K-12 ______
Indicate work affiliation:
Intermediate unit
Social Service Provider agency
Managed Care Organization
Higher Education
Other(list)_______________________________________________
Counties the educational entity/ agency works in:______________________________________________
Work Address: Street__________________________ City:_____________
County:___________ State: PA Zip code____________
Phone: _____________________________________ Extension:_____________FAX:____________
Email address____________________________________________________________
Please list a home email address if you work at a school or organization where you are not available at the work
address given above during the summer months
Year-round, preferred E-mail Address:___________________________________________
Applicant’s signature:_________________________________________Date:_________________
Please answer the following questions.
1) Why are you interested in becoming a PAPBS Network Facilitator?
2) Briefly describe any relevant experiences you have in working with Schools/ Early Childhood
programs. (specify dates )
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3) Indicate the adult populations with whom you have trained. (check all that apply)
_____
_____
_____
_____
_____
_____
_____
_____
_____
Teachers: Infant/Toddler
Teachers: Pre-School
Teachers: K-5 (Includes School-aged Child Care)
Teachers: 6-8
Teachers: 9-12
Youth leaders (non-school)
Agency personnel
Business
Other (specify) __________________________________________________
4) Indicate which content areas you have experience training in. (check all that apply)
_____ PBIS Modules developed by the Center for Social Emotional Foundations for Early
Learning (CSEFEL)
_____ Effective Instruction
_____ Positive classroom management
_____ Listening skills
_____ Assertiveness
_____ Positive Behavior support
_____ Building self-confidence
_____ Working with groups
_____ Conflict Management
_____ Cultural Competency
_____ Coaching models
_____ e-Learning
_____ Developing behavior goals
_____ Other: (list):________________________________________
5) Indicate the types of methodology you have used in workshops you have previously conducted.
(Check all that apply)?
_____ Experiential, “hands-on”
_____ Presentation format with some audience involvement
_____ Lecture
_____ Skill development
_____ Teaching concepts
_____ Presenting information
_____ Cooperative learning groups
_____ Coaching
_____ Partnering with families
_____ Other: _____________________________________________________
6) Describe your skills as a Facilitator. We encourage you to submit sample copies of evaluations of
past trainings that you have conducted. (Please limit to no more than three)
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7) Describe any other personal qualities or experiences that you would like us to be aware of in our
consideration of your application for the PAPBS Network.
8) Have you been involved in consultation and training for any other programs? If so, please
describe each and your involvement in those programs.
9) Describe your experience with PBIS to date.
10) Have you received any previous training in PBIS? Yes___ No____
If Yes, please provide a description of the training(s) and indicate Facilitator(s).
11) Have you worked with anyone in PA's PBIS Network who can speak to your knowledge and
skills in PBIS? If so, please provide that person's name and contact information.
Thank you for your application to become a PAPBS Network Local Facilitator.
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Appendix 2: PAPBS Facilitator Job Description
TITLE:
PAPBS Facilitator
REPORTS TO:
PAPBS Regional Facilitator
JOB GOAL:






To expand and sustain implementation of Positive Behavior Interventions and Supports
(PBIS) at the Universal, Secondary and Tertiary levels in Pennsylvania schools and early
childhood settings
To expand the support structure for delivery of training and technical assistance to
schools and districts and early childhood programs for all levels of PBIS implementation
and evaluation
To provide quality training at all three tiers of PBIS: Universal, Secondary and Tertiary
To support implementation of the data collection system, use data-based decisionmaking, further research and evaluation
To provide leadership in development of PAPBS Network PBIS policy, funding,
curriculum, research and public relation components
Develop collaboration with multiple systems including PDE, DPW, BSE, OCDEL,
mental health and other service providers, to support success for all children and students
in the school and community
QUALIFICATIONS:









Master’s degree in education, educational administration, social work, psychology, or
related field or, a Bachelor’s degree in education, educational administration, social
work, psychology, or related field with five years’ experience in educational and/or early
childhood settings
For Program-wide, hold or be eligible to attain Pennsylvania Quality Assurance System
(PQAS) certification to provide support to Early Childhood or School Age Child Care
programs
Experience with effective behavior interventions, classroom, and individual student
behavior intervention plans, school improvement and cultural diversity
Ability to manage multiple components of program development, training, technical
assistance, and evaluation tasks
Knowledge of PBIS, Hi-Fidelity Wraparound, multiple systems perspective
Experience with coordination of and training for staff development
Experience working with district/building/program level Leadership Teams
Experience with implementing intense student support as a behavior specialist, teacher,
administrator, psychologist, counselor or related role in schools or early childhood
settings.
Expertise in data based decision making
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DUTIES AND RESPONSIBILITIES:






Provide trainings and technical assistance at the PBIS Universal, Secondary and Tertiary
levels.
Facilitate and monitor the implementation of the appropriate data collection tools for the
setting.
Compile, review and discuss behavior, academic and developmental evaluation data for
individual schools, districts, or programs.
Collaborate with schools and the District Leadership Team, or early childhood program
teams/committees before they adopt PBIS to ensure integrity of implementation, financial
support, and commitment for coaching and trainings.
Network with local, regional, state, and/or federal PBIS technical assistance centers and
trainers.
Participate in regional, statewide and/or national PBIS leadership conferences and
meetings.
Perform administrative duties associated with position (i.e., calendar development,
expense reports, preparation of training materials, etc.)
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Appendix 3: Letter of Assurance
The applicant must demonstrate that their participation as a PAPBS Network Local Facilitator will not
contribute to or pose a conflict of interest with other work or vested interests or be used as a vehicle to
market or otherwise solicit other support, investment or funding in any diversified interests of the
Facilitator (i.e. software products, counseling/tutoring services to students, toys/learning devices).
The undersigned individual agrees to the following assurances in order to train with provisional approval
status and move towards being endorsed as an independent PAPBS Network Facilitator for the PAPBS
Network.
-
Agree to follow protocol as indicated in the Endorsement Process (see Appendix 4 and 5)
-
Partner with an independent Local Facilitator to provide on-site training and technical assistance to
the early childhood or school-aged setting in which the facilitator is working.
-
Assist the independent Facilitator in obtaining and maintaining written agreement with school
districts in which the Lead Facilitator is operating.
-
Implement training and practices in accordance with the PAPBS Network training curriculum.
-
Attend meetings and Training of Facilitators’ sessions as established by the PAPBS Network.
-
Agree to implement updated training content as provided by the PAPBS Network.
-
Agree to submit school data, surveys, and other required documentation to the Regional Facilitators
and/or State Coordinators as requested.
I understand that if, at any time, the SLT determines that there is non-compliance to the training
requirements and protocols, the SLT reserves the right to revoke endorsement as a Facilitator for the
PAPBS Network.
Name of Agency: ________________________________________________________________
_______________________________________________________________________________
Print name
Signature of Provisional Facilitator
Date
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Appendix 4:
PAPBS NETWORK FACILITATOR’S SKILL DEVELOPMENT TO INDEPENDENT FACILITATION [FY210-11] UNIVERSAL / TIER 1
Facilitator Skill Development
Activities
NetworkSponsored Skill
Development
Attend orientation to SCHOOL-WIDE
AND/OR PROGRAM-WIDE PBIS
Facilitation and complete application
Attend 4 days of ToT for Facilitators
Topics include:
1.
2.
3.
On-Site Skill
Development
Endorsement
Independent
Facilitator
District/Program
readiness
Universal
curriculum
Data systems
Attend >70% of monthly coaches’
networking seminars
Attend Network Implementers Forum
held in late spring
1.
Shadow
1. Shadow an independent facilitator
1.
with the following:
1. Administrative overview
2. District/school readiness
2.
3. Universal Core Team
training
3.
4. Core Team to Faculty
4.
training sessions
5. School SWIS training or
5.
Program-wide database
training
6. Universal/core team meeting
where data are utilized for
problem-solving
District Assigned
1. SCT w Regional Facilitator aligns
SCHOOL-WIDE AND/OR
PROGRAM-WIDE PBIS Facilitator
with new Team
Co-Training/Co-Lead
1. Co-train/co-lead with independent
2.
facilitator with the following:
3.
1. Administrative overview
4.
2. District/school readiness
5.
3. Universal Core Team
training
4. Core Team to Faculty
training sessions
5. School SWIS training or
Program-wide database
training
6. Universal/core team meeting
where data are utilized for
problem-solving
SCT w Regional Facilitator coordinates
assignment for new school team training in
region
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Relevant SCHOOL-WIDE
AND/OR PROGRAM-WIDE
PBIS Content
Brief Intro > Systems, Data, Practices
Overview of Application Process
1.
Facilitator Roles /
Network Structure
2. Induction of
Districts/Programs into
Network
3. Data, Systems, Practices
for PBIS
4. Tools & Techniques for
Coaching
Local implementation issues
Differentiated PBIS Topics
Administration Intro to SCHOOLWIDE AND/OR PROGRAM-WIDE
PBIS
Process of inducting a
district/program
Universal curriculum
Universal implementation features
explained to faculty
Implementation planning/data
analysis
1.
All Readiness & Universal Content
Technical assistance
Coaching
Tools (BoQ, SET, etc.)
1.
Measurable
Outcome
Completed Facilitator
application and acceptance as
Provisional Facilitator
Certificate of Attendance from
ToT
Certificate of Attendance for
attending seminars
Certificate of Attendance from
Network Implementers Forum
The following must be
completed:
1. Audit of 1 monthly
Universal/core team
meeting each quarter
(minimum, may attend
more)
2. Completed experiential log
listing shadowing
experiences
Optional tool:
3. Completed Facilitator
Professional Development
and Endorsement Scale for
use between Independent
and Provisional Facilitators
District/Program assigned
Refer to PAPBS Network
Facilitator’s Documentation for
Independent Facilitation
Welcome, Independent
Facilitator!
16
Appendix 5
PAPBS Network Facilitator’s Documentation for Independent Facilitation
Universal / Tier 1
Completed
Item
The following items are mandatory for completion and/or submission:
1) Letter of support from Principal at school or Administrator at EC program where your facilitation experience
was completed
2) >70% attendance at Network-sponsored networking opportunities, including Facilitator meetings, Coaches’
seminars, and Implementers’ Forum
3) Submission of the following permanent products from your facilitation experience:
a) SW/PW expectations
b) Teaching/behavior matrix
c) Annual teaching schedule of lesson plans
d) Written description of recognition system (may be included in a staff handbook)
e) Flowchart or written description of discipline process
f) Office referral or behavior incident report and definitions
4) Participate in 4 team meetings where data were utilized for problem-solving
5) Complete BoQ with team
ALL ITEMS ABOVE COMPLETED
2 of the following items must be completed and/or submitted:
6) Assist school to submit data requested for state-wide program evaluation ( refer to the coaches curriculum for
the current program year for data requirements)
7) Assist team to build an annual action plan with multiple data sources
* Submit action plan
8) Facilitate completion of Self-Assessment Survey by 80% school staff
9) Participate in training to be endorsed as a SWIS Facilitator
10) Write 1- to 2-page summary describing your facilitation of team through the data-based problem-solving
process (describe problem through precision statement, selected environmental modification and/or
student/adult intervention, and outcome)
2 ITEMS COMPLETED
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Appendix 6
List of PAPBS Network Independent Tier 1Facilitators (2.2013)
(Please note that new names are being added to this list on a routine basis)
Educational Entity/ Program
Alternative Community
Resource Program
Name
Curt Davis
Region
W,C
Contact Information
814-535-2277 x301
cdavis@acrpkids.org
Arcadia University
Adriana Gonzalelz-Lopez
E
215-572-2809
gonzalez-lopez@arcadia.edu
Arcadia University
Christina Ager
E
215-572-2115
agerc@arcadia.edu
Arcadia University
Teri Weldeman-Rouse
E
215-572-2809
wiedemat@arcadia.edu
Arcadia University
Priscilla Jeter-Isles
E
215-572-2115
jeterilp@arcadia.edu
Arcadia University
Kimberly Dean
E
215-572-2115
deank@arcadia.edu
IU 10
Dawn Moss
C
814-342-0884 ext. 3024
dmoss@ciu10.org
IU 10
Christine Sanker
C
814-342-0884 ext. 3064
csanker@ciu10.org
IU 11
Donna Waleski
C
814-542-2501 ext. 146
dwaleski@tiu11.org
IU 16
Jessica Harry
C
570-523-1155 ext2213
jharry@csiu.org
IU 17
Kelly Swartwood
C
570-323-8561 ext1038
kswartwood@iu17.org
IU 17
10/01/13 revision
Brenda Roberts
C
570-673-6001 ext. 2005
18
broberts@iu17.org
IU 19
Elaine Geroulo
E
570-876-9200
egeroulo@iu19.org
IU 19
Ellen Cummings
E
570-876-9200
ecummings@iu19.org
IU 21
Donna Halpin
E
610-252-5550
halpind@cliu.org
IU 22
Sarah DiMarino
E
1-800-770-4822 Ext2023
sdimarin@bucksiu.org
IU 24
Patti Bogart
E
pattibo@cciu.org
IU 24
Charlie Robey
E
484-237-5246
IU 25
Stephanie Szczepkowski
E
charlier@cciu.org
610-938-9000 Ext 2135
sszczepkowski@dciu.org
IU 3
Leanna Lawson
W
412-394-5857 ext. 5857
leanna.lawson@aiu3.net
IU 3
Carrie Frohnapfel
IU 1
Kristen Salamone
IU 4
Beth Glew
W
412-394-5700
carrie.frohnapfel@aiu3.net
724-222-1040 ext. 135\
Salamonek@iu1.k12.pa.us
W
724-458-6700 ext. 1208
beth_glew@miu4.org
IU 4
Lindsay McGaughey
W
724-458-6700, ext.1235
lindsay_mcgaughey@miu4.org
IU 4
Curt Springer
W
724-458-6700, ext. 1580
curt_springer@miu4.org
IU 4
Rhett Fertig
W
724-458-6700, ext. 1564
Rhett_Fertig@miu4.org
10/01/13 revision
19
UPMC
Margaret A. Modro
W
412-586-2573
modroma@upmc.edu
UPMC
Dr. Sue Tarasevich
W
412- 586-2572
tarasl@upmc.edu
Wesley Spectrum School
Based Behavioral Health
Services
Wesley Spectrum School
Based Behavioral Health
Services
10/01/13 revision
Karen Tantalo
W
412-337-8801
Lynne Boley
W
ktantalo@wesleyspectrum.org
412-885-7017 ext. 1335
LBoley@wesleyspectrum.org
20