These documents and forms will provide assistance to teachers and administrators as academic and behavioral interventions are developed.

MTSS/PBIS Behavioral Forms and Documents

PBIS FOCUS Handbook

• PBIS Action Plan
• JPS Scholar Behavior Intervention Support Plan Agreement
• JPS Discipline Chart
•  Discipline -Attendance Analysis Form
• MTSS BEHAVIOR FACTS Checklist
• Blank FACTS Individual Support Plan Part C
• Behavioral Intervention Support Plan
• Positive Behavior Daily Tracking Form
• Behavior Rating Sheet
• ABC Recording Form
• Classroom Observation Form
• Summary of Behavior Form
• TIPS Meeting Form
• Conducting a PBIS Meeting
• Behavior Analysis Form C3
• Behavior Analysis Form C5
• C1-Attendance Behavioral Analysis
• C2-Biting Behavior Analysis
• C3-Organization Behavioral Analysis
• C4 Honesty Behavior Analysis
• C5-Drops Behavior Analysis
• C6-Interactions Behavior Analysis
• C7-Touching Behavior Analysis
• C8- Motor Annoyances Behavior Analysis
• C9 Noncompliance Behavior Analysis
• C10 Off Task Behavior Analysis
• C11- Out-of-Seat Behavior Analysis
• C12-Aggression Behavior Analysis
• C13 Transitions Behavior Analysis
• C14-Runs Away Behavior Analysis
• C15-Spitting Behavior Analysis
• C16-Stealing Behavior Analysis
• C17-Talking Out Behavior Analysis
• C18 Throwing Objects Behavior Analysis
• C19 Verbal Aggression Behavior Analysis
• C20-Withdrawn Behavior Analysis

MTSS/Academic Forms and Documents

• Review of JPS MTSS Tier Process
• 2023 MDE Documentation Packet
• MDE Documentation Checklist
• MDE MTSS Guidance Document
• Student MTSS Portfolio Dividers
• Interventionist MTSS Portfolio Dividers
• 2023 MET Checklist
• Referral to MET Form
• At-Risk Report Document
• 20-Day MSIS Form
• LESSON PLANNING FOR MTSS INTERVENTION GROUPS
• MDE Intervention Screen and Reports Presentation
• MDE MTSS Flowchart
• MTSS Grades 4-12 Screening Chart MDE
• JPS Release of Information
• Daily Intervention Documentation Sheet
• Teacher Narrative
• Hearing and Vision Form
• Hearing and Vision Follow-Up Information
• MDE Developmental History Checklist for 3-9
• MDE Developmental History Checklist for 10-21
• MDE Eligibility Form
• Classroom Observation Form