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Teacher Namestggaaae oa Grade: KN Date: 10/10/2017 Teacher's Lesson Plan & Grade Documentation Form Area of Observation Notes: IRTI Binder is organized IRTI Form was not included [Baseline Data documented station report was included for reading; |however, math interventions were noted, but |not reading 3. |Intervention Goals identified (Math goals were identified. |No evidence of Envision samples. Emiliano was 4, Intervention Activities identified the only student with Math TEK Review work |sample [student requiring intervention(s) oo Incomplete scores and notes 6. |student data filled out accurately ee ee 7. interventions documented weekly Please provide dates on all samples . itt |Inconsistencies in student work samples—not 8. eryenvion Activity Samples noted that Leonardo needed reading [atta linterventions in Spanish for reading 9. |Group Form in Binder 10. individual Form in Student Folder

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