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  • CICO To Edit

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    Desiree Parker
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    RTI-pbs Intervention Form total POINTS: How many points could the student have earned today? student points ___earned___ TOTAL POINTS possible percent of points earned what % of points did the student earn today? Student Signature Incentive Box CHECKER, please circle one at the end of the day: Does this student's CICO plan involve a reward?

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    RTI-pbs Intervention Form total POINTS: How many points could the student have earned today? student points ___earned___ TOTAL POINTS possible percent of points earned what % of points did the student earn today? Student Signature Incentive Box CHECKER, please circle one at the end of the day: Does this student's CICO plan involve a reward?

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    103 vues1 page

    CICO To Edit

    Transféré par

    Desiree Parker
    RTI-pbs Intervention Form total POINTS: How many points could the student have earned today? student points ___earned___ TOTAL POINTS possible percent of points earned what % of points did the student earn today? Student Signature Incentive Box CHECKER, please circle one at the end of the day: Does this student's CICO plan involve a reward?

    Droits d'auteur :

    Attribution Non-Commercial (BY-NC)
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 1

    CHECK-IN CHECK-OUT (CICO) RTI-PBS Intervention Form

    Daily Report Form

    NAME: GRADE: SCHOOL: CHECKER: DATE:


    Teachers, please circle a “2” if the student has met each respective Behavior Goal, circle a “1” if the Behavior Goal is partially met, or a “0”
    if the student has not met the Behavior Goal. If a score does not apply, please mark “n/a.” Then, initial in the box below.
    SUBJECT/PERIOD:

    BEHAVIOR GOALS TOTAL POINTS

    1. 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0

    2. 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0

    3. 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0

    4. 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0
    How many points did
    the student earn
    TEACHER INITIALS: today? Enter that here:

    TOTAL POINTS:

    Please keep comments supportive and positive. How many points


    Total could the student
    What did the student do well today? What can the student do better tomorrow? Points have earned today?
    Possible:

    What % of points did


    student points percent the student earn
    ___earned___ = of points today?
    total points earned
    possible %

    _____________________________ Incentive Box CHECKER, please circle one at


    Student Signature the end of the day:
    DAILY POINT
    Does this student’s CICO plan involve a reward?___________ GOAL
    _____________________________ If so, what is the reward? _____________________________ I MET MY GOAL
    Parent/Guardian Signature &
    Comments: How often can the reward be earned? ___________________ %
    Did the student receive the reward as planned?___________ YES NO ______
    UNO PAM-RTI/PBS, Copyright July, 2009

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