California 2019 PBIS School Recognition Application
The PBIS School Recognition Application process recognizes schools for fidelity of PBIS implementation and valued outcomes at the Bronze, Silver, Gold, or Platinum levels. For your school to be considered for recognition at any level, please complete the application fields below with your school's information. Fill in and check off the appropriate boxes for the level for which you are applying. Complete instructions and requirements are available at:

1. Please note that for the purpose of recognition, your team must complete the Tiered Fidelity Inventory (TFI) with an Authorized External Reviewer and the TFI scores must be entered into PBIS Assessments at The TFI is required for ALL LEVELS of recognition. Information and instructions for the TFI can be found at:

2. In addition to the specific data required for recognition, your team will need the following information to complete the application:
a. School Name
b. District Name
c. School Administrator Name and Email
d. School Based Coach and Email
e. Contact Person's Name and Phone Number
f. External Coach's Name and Email

3. All completed applications must be submitted by May 17, 2019

Email address *
Did your team use a Current Authorized TFI External Reviewer *
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