ome Grade: Pk Date: 10/10/2017 Teacher's Lesson Plan & Grade Documentation Form ‘Area of Observation Yes | No Notes: 1. |RTI Binder is organized X_|include student name on each folder [Please provide—baseline data to support [Baseline Data documented X_ identification of identified students being Imonitored. 3. |Intervention Goals identified x Well done 4, [Intervention Activities identified X_ |Consider sample student work for evidence [Student requiring intervention(s) 5. laentitied x |Well done lProvide student last name 6. |Student data filled out accurately X [Need dates \Specify activity purpose |Not clear, intervention form has 9/26, Math 7. |interventions documented weekly X _|assessment has 9/28 and all other forms have Ino dates a, [Intervention Activity Samples x [Please specify activities, objective, and feedback * Jattached INone were graded 9. |Group Form in Binder 110. Individual Form in Student Folder