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Math, Reading, Science Support Request Form
This is where you can refer students for RtI help with Math or Core
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* Indicates required question
Email
*
Your email
Referring Teacher or Parent's First and Last Name
*
Your answer
Student's First and Last Name
*
Your answer
Student's Grade Level
*
6th
7th
8th
Student needs help in:
*
Math
Core -- Reading and Writing
Science
Organization and/or Technology Systems
Other:
Required
What is the level of urgency?
*
High
Medium
Low
Describe the Problem -- Check All that Apply
*
Has trouble with completing classwork
Has trouble completing independent work
Has low skills
Needs help with technology
Other:
Required
What would be the ideal resolution? -- Check All that Apply
*
Student joins AAA -- After School Academic Assistant -- for extra help
Student is enrolled in Zero Period Math+ (7:45 - 8:25am daily)
Student attends teacher office hours
Student is enrolled in a tutoring group
Student is pulled from elective class to work with RtI teacher
Other:
Required
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