Behavior and Academic Intervention Record for Child Study Teams

This form serves as a record for all accommodations and interventions tried with a student. It is used as a way to track what has been put into place with a focus on the classroom teacher and the classroom environment. It is useful when consulting with the teacher to brainstorm new ways to help support the student in the classroom both behaviorally as well as academically. This form can then be used as data for if the child is referred to outside services, the special education evaluation team, or as a personal record alone. The record is elementary-age focused.