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BEHAVIOR INTERVENTION PLAN

Student:_______Maria______
Date:___05/11/15____________________
This student has evidenced behavior that impedes his/her learning or that of others and is, or can be
anticipated to be repetitive. This includes behavior that could violate the student code of conduct

Sources of Data
Date

Sources of Data
Date

Information from school staff:

Information From FBA:

Information from parent/student:

Information from FIE:

Information from school records:

Other:

Inappropriate
Behaviors:
What is the behavior
that needs to
change?

Replacement
Behavior (s): What
is the behavior that
the student should
be exhibiting?

Positive,
behavioral
interventions,
strategies and
supports:
What will school
personnel do to
prevent the
inappropriate
behavior from
occurring and to
encourage the
replacement
behavior?

Recommended
consequences,
including specific
regular or
alternative
disciplinary
measured as
appropriate*: What
will the
consequences be
when the student
exhibits the
inappropriate
behavior?

05/11/15

Mastery Criteria:
How will you know
that the student is
being successful?

Leaving assigned
group/area

Remaining with her


group/ in her area.

School personnel
will:

Consequences will
be:

- explain why this


behavior is
significant to the
student.

-removal of reward.

-provide visual and


verbal reminders.

-island time during


stations.

-Based on
observations during
rotations.
-reduction of
redirects.

-loss of free time

-implement a reward
system for the
student, in which if
the student displays
the appropriate
behaviors she will be
allowed to take up a
class role such as
line leader, teacher,
door holder etc.
Talking to peers at
inappropriate
times

Only talking during


times that its
allowed.

School personnel
will:

Consequences will
be:

-explain when it is
okay and when its
not okay to talk to
peers.

-same as above.

-provide
visual/verbal
reminders/ cues
before each
transition.

Also same as above.

-include this
behavior in the
previously
mentioned reward
system.

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