Teacher and Principal Conference
Tier I
Student Grade
School Date of Conference
Name of Parent/Guardian
Name of Teacher Attending Conference
Name of Principal Attending Conference
This conference was initiated at the request of: teacher parent principal
Follow-up to a teacher/principal conference held on _____/_____/_____
The Teacher and Principal considered the following information:
Teacher Form (Date _____/_____/_____)
Teacher Input for Addressing Behavior (if applicable) (Date _____/_____/_____)
Student Profile (Date _____/_____/_____)
Vision Screening and Referral Form (Date _____/_____/_____)
Hearing Screening (Date _____/_____/_____)
Discussion Summary:
The Teacher and Principal agree to the following next step(s):
No further action is required.
Refer to Student Assistance Team (Date //
Conduct Student Observation
Conduct follow-up teacher/principal conference by the following date: //
Comply with Compulsory Attendance Laws:
For student “in need of early intervention” (accumulated the equivalent of five or more unexcused absences within a school year).
For student who is a “habitual truant” (accumulated ten unexcused absences within a school year).
Conduct follow-up teacher/principal conference by the following date: //
Implement Program Emphasis: Continue to implement curriculum/instruction based on peer-reviewed research
Use core program and explicitly teach priority skills. Describe.
Use differentiated instruction. Describe.
Conduct follow-up teacher/principal conference by the following date: _____/_____/_____
Time (Opportunity to Learn):
Schedule and deliver ______minutes of daily instruction.
Increase opportunities to respond during core instruction. Describe.
Use corrective feedback. Describe.
Conduct follow-up teacher/principal conference by the following date: _____/_____/_____
Grouping for Instruction:
Check group placement and provide combination of whole, small and flexible group instruction. Describe.
Use small groups for guided practice/re-teaching/and tiered assigments. Describe.
Conduct follow-up teacher/principal conference by the following date: _____/_____/_____
Conduct Parent/Teacher Conference.
Conduct follow-up teacher/principal conference by the following date: _____/_____/_____
Continue to implement LEP services. Describe.
Conduct follow-up teacher/principal conference by the following date: _____/_____/_____
Complete Teacher Input for Addressing Student Behavior Form
Conduct follow-up teacher/principal conference by the following date: _____/_____/_____
Behavior Strategies:
Reminder about expected behaviors when problem behavior is likely.
Clarify rules and expected behavior for the whole class.
Practice the expected behaviors in class.
Reward Program for expected behavior.
Oral agreement with student.
Self-management program.
Systemic feedback about behavior.
Individual written contract with student.
Contract with student/with parents.
Conduct follow-up teacher/principal conference by the following date: _____/_____/_____
______
PrincipalDateTeacherDate