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Our Purpose:
Inspiring and empowering learners to meet the challenges of tomorrow.		Rawlins Middle School
Our mission is to ensure high levels of learning for all.		Our Vision:
Educating through relationships, relevance, and rigor.
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Date:MTSS Form
"Multi-teared System of Supports"		Parent/Guardian:
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Student Name:Teacher/Staff Member:
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Grade Level: 6th 7th 8th
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Area of Concern: Academic, Behavior, or Both
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Antecedent
What happened prior to the undesired behavior?		Behavior
What behaviors did you observe and what behavior
do you expect?		Response
How did you respond to the behavior
Are you using any strategies?
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1st observation
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2nd observaion
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3rd observation
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Follow Up Date:Follow Up Date:Follow Up Date:
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