Weaver Lake Student Intervention Team
Please fill in the following form to begin the SIT process on your student.
Email address *
Date of Request *
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Student Name-First and Last: *
Your answer
Teacher Name *
Your answer
Grade *
Birthdate *
Please enter MM/DD/YYYY
Your answer
Is this student identified as EL? *
Is this student identified as SPED? *
Please check ALL areas that apply *
Required
Other Concern
If you selected 'Other' above, please add details here.
Your answer
Reasons for Above Concerns *
Your answer
Please share student strengths, exceptions to the problem: (inner attributes, things the child does well, positive resources, exceptions to the problem or times when the problem is NOT occurring.) *
Your answer
Strategies attempted to address the problem *
Your answer
Parents have been contacted regarding the concern. *
Date the parent was contacted
Please skip if you haven't contacted at this point.
MM
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DD
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YYYY
During the parent contact SIT was mentioned as a possible option. *
A copy of your responses will be emailed to the address you provided.
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