Teacher IEP/BIP input
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Teacher Name
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Student Name
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Grade
General description of the student
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Student Fluency
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Bilingual category
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Bench mark scores
Reading
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Math
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Writing
Science
Academic strengths and weaknesses
Reading strength
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Reading Weakness
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ELA strength
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ELA weakness
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Math Strength
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Math weakness
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Accommodations needed in the educational setting
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Problem Behaviors exhibited in the educational setting (FBA)
Describe the behaviors of concern
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What is happening when the behavior occurs?
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What triggers the behavior?
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What are the consequences the student usually receives for the behavior?
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Why do you think the student behaves this way?
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What is the student trying to get or avoid?
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How often does the behavior occur?
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Briefly describe your behavior management plan
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