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Team:
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Date:
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STEP 1: Identify Standard – Determine Need
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Unit/Topic:
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Standard:
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STEP 2: Chart Data: Pre-Assessment
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Team gathers data from formative assessment or pre-assessment.
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Team Member# Tested# Proficient% Proficient# Very Close% Very Close# Far to Go% Far to Go# Intervention% Intervention
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Analyze Strengths and Determine Next Steps
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Team identifies the strengths and needs of student performance and then form inferences based upon the data.
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StrengthsNext Steps
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StrengthsNext Steps
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StrengthsNext Steps
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StrengthsNext Steps
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Step 3: SMART Goal
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The percent of _<group>____ scoring proficient or higher in __<target/benchmark/standard>_will increase from __% to __% measured using the _____<measure/assessment/task/score> by <date>.
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STEP 4: Action Plan/Select Strategies
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Select cuturally responsive, research-based instructional strategies.
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LevelInstructional Strategies (include environment, duration, formative assessments)
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Intervention
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Far to Go
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Universal
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STEP 5: Track Progress and Refine Instruction
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Monitor progress toward goal attainment AND strategy effectiveness through formative assessment.
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What is working? What changes to instruction can we make based on assessment?
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Chart Data: Post-Assessment
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Team Member# Tested# Proficient% Proficient# Very Close% Very Close# Far to Go% Far to Go# Intervention% Intervention
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Totals#DIV/0!0#DIV/0!#DIV/0!#DIV/0!
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STEP 6: Reflection
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Team evaluates results and determines “what is next?”
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Date Meeting Notes
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