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CS-1
Newport News Public Schools Student Intervention Plan
Tiers 1 & 2
Student
DOB
Student ID #
Grade
Teacher
Interventionist
School
Year
Weakness and
Supporting Data
Goal
Strategy/
Intervention
Tier 1
Strategy/
Intervention
Tier 2
Starting/
Ending
Date
Data used for
monitoring progress
Results of Intervention
Goal Met
Progressing
No Progress
Comments:
Goal Met
Progressing
No Progress
Comments:
Goal Met
Progressing
No Progress
Comments:
Additional Information:
20
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