ACTION PLAN

SMALL GROUP

Process Data Outcome Data

ASCA Domain (Projected Perception Data (Achievement,
and Mindsets & number of (Type of surveys/ attendance and/or
Grade Behaviors Curriculum and Projected students assessments to be behavior data to be Contact
Level Group Topic Standard(s) Materials Start/End affected) used) collected) Person
4th Building Mindsets: Session 1: Four- Eight After this 87% of the Amanda
and 5th Healthy M.1 Understanding 60-minute 4th/5th group, 100% of the students in the Szaraz
Relationships M.3 my support sessions grade small group Super Support
system students members will be group will report
Behaviors (Introduction) Every will attend able to name that they feel
Standards: Thursday 4 someone who can comfortable
B-LS 10 Session 2: In consecutive support them in approaching and
B-SMS 8 Support at October weekly the home, school, utilizing their
B-SS 2 Home Starting meetings, and community chosen support
B-SS 3 October that will be environment. system
Session 3: 4th and an hour individuals.
Support at Ending long each
School October session.
25th
Session 4:
Support in the
Community

Materials:
Informed
Consent Forms
Group
Agreement Form
Pre- and Post-
Tests
Pens
Pencils
Markers
 Support
worksheet
(home, school,
and community)
Support Venn
Diagram