Troy School District School Year: 2016-2017

General Education: Documentation of Educational/Behavioral Concerns, Interventions, and Data

Student: Angelo DAloisio Birthdate: December 10, 2002 Grade: 8th Grade

School: Larson Teacher(s): Mrs. Slade / Mrs. Murtagh

Parents must be notified by classroom teacher regarding educational/behavioral/communication concerns prior to documentation.
Specific Area Intervention**: Response***/ Response***/ Response***/
(Over multiple weeks, Progress/ Outcome Progress/ Outcome
of Concern Baseline* Data: Progress/ Outcome
continuing as warranted by Data: Data:
(Academic, behavior, data) Data:
social, speech/language)
Date: 1-30-17 Intervention: Co-taught Date: April 2017 Date: Date:
Math, Individualized Assessment Used: Assessment Used:
Assessment Used: instruction, additional Assessment Used:
math support in Student Level: Student Level:
Math Calculation AIMSweb M-Comp Achievement Skills class, AIMSweb M-Comp
Copy of notes Expected (Grade- Expected (Grade-
Student Level: 12%ile Student Level: 23%ile level) Benchmark: level) Benchmark:
Start Date: 1-30-17
Expected (Grade- Expected (Grade-
Level) Benchmark: Frequency: Daily level) Benchmark:

At least 25%ile Expected Minimum At least 25%ile

Duration: 8-12 weeks
Date: 1-30-17 Intervention: Co-taught Date: April 2017 Date: Date:
Math, Individualized Assessment Used: Assessment Used:
Assessment Used: instruction, additional Assessment Used:
math support in Student Level: Student Level:
Math Problem Solving AIMSweb M-CAP Achievement Skills class, AIMSweb M-CAP
Copy of notes Expected (Grade- Expected (Grade-
Student Level: 6%ile Student Level: 1%ile level) Benchmark: level) Benchmark:
Start Date: 1-30-17
Expected (Grade- Expected (Grade-
Level) Benchmark: Frequency: Daily level) Benchmark:

At least 25%ile Expected Minimum At least 25%ile

Duration: 8-12 weeks

1-3-14