TAT Intervention Planning Form

SMART Goal
( ie. By (date), student will increase the number of words read correctly per minute from
baseline of 25 on (date), as measured by CBM fluency probes.)

Instruction strategy/technique that will be used:

Who will do the intervention (classroom teacher, interventionist, etc.):
Dates/Times/Locations of Intervention:
Intervention Start Date:
Intervention Plan
Progress Monitoring of Intervention
Tool & unit of measure:
Who will collect the data:
When and who will the data be collected (7 weeks, 12 data points):
TAT Team Member Liaison:
Date:

Check-In
(2-3

weeks after start date)

Communication of Intervention Plan to Family

Who:
How:
When:
Data Tracking: (7 weeks, 12 data points)
Data Point
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7

Data Point