Blank Meeting Minute Form

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PBIS Team Meeting Minutes and Problem-Solving Action Plan Form.

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Blank Meeting Minute Form

  1. 1. ___________________ PBIS Team Meeting Minutes and Problem-Solving Action Plan Form Today’s Meeting: Date: Time: Location: Facilitator: Minute Taker: Data Analyst: Next Meeting: Date: Time: Location: Facilitator: Minute Taker: Data Analyst: Team Members (bold are present today) Today’s Agenda Items Next Meeting Agenda Items Potential Problems Raised 01. 1. 1. Playground toys 02. 2. 2. Harassment on the playground 03. 3. 3. Gotcha System (assemblies, incentives) 4. 5. Administrative/General Information and Issues Information for Team, or Issue for Team to Address Discussion/Decision/Task (if applicable) Who? By When? Problem-Solving Action Plan Implementation and Evaluation Precise Problem Statement, based on review of data Solution Actions (e.g., Prevent, Teach, Prompt, Goal, Timeline, (What, When, Where, Who, Why) Reward, Correction, Extinction, Safety) Who? By When? Decision Rule, & Updates Evaluation of Team Meeting (Mark your ratings with an “X”) Our Rating Yes So-So No 1. Was today’s meeting a good use of our time? 2. In general, did we do a good job of tracking whether we’re completing the tasks we agreed on at previous meetings? 3. In general, have we done a good job of actually completing the tasks we agreed on at previous meetings? 4. In general, are the completed tasks having the desired effects on student behavior? If some of our ratings are “So-So” or “No,” what can we do to improve things? Newton, J.S., Todd, A. W., Horner, R.H., Algozzine, B., & Algozzine K., 2010

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