Forms

=Live Edits of Current LST Forms=

**Please make general suggestions above. Suggestions regarding specific forms should be listed within each relevant form section below. I have also attached some of Dr. Parker's IST forms for reference.**

The following list of forms includes all developed in support of the LST Process as of 4/1/02.

New Section - LST 1: Observation Checklist 8-22-09 The observation checklist was separated from the LST 2 Teacher Input form as it will no longer be submitted to the LST at the initial meeting. Rather its purpose is to assist a teacher in organizing his or her observations in order to develop specific questions the LST will address at the meeting. LST1 Observation Checklist revised 9-2-09

Teacher Input/Referral Form (LST2) Most current revisions reflect the omission or rewording of some information

Parent Input - includes notice of Referral (LST3) Most current revisions reflect the omission of unnecessary or redundant information
 * A few changes were made to the Parent Input form to reflect better practices in communicating with parents and to gather the most helpful information possible. The revised Parent Input Form is attached below. **

Learning Support Team Summary Record Form (LST4) Suggesion: Set goals based upon baseline data collected. Add to packet problem-solving approach diagram. At initial meeting - if possible - determine plan for monitoring progress toward goals. Most current revisions reflect the addition of "follow-up" checklist on the summary record and the request for screening/observation/checklist completion.
 * Minor changes were made to the LST Summary Record Form. Revised document is attached below.**

LST Recommended Accommodations Form (LST5) We no longer encourage the development of general education accommodation plans.
 * This form was eliminated from packet. **

Parent/Guardian Permission to Screen or Test Form (LST6) Revised 6-12-06 Suggestions were made to eliminate informal screenings and observations from the form and review whether or not limited testing should remain an option. Kirsten volunteered to check on the law regarding parent permission to screen/test within the context of LST.

Education Accommodations List (LST7) Suggestion: **Within the RTI process, we might consider creating a "toolbox" of research-based intervention strategies in lieu of accommodations list.** Accommodations List was revised in August and September 2009 as an Interventions Log. Each heading references a major topic in the Pre-Referral Interventions Manual. Teachers will idenfiy the specific area of intervention, refer to their PRIM for specific actions, choose the most appropriate for the individual child, and log each attempted intervention, the dates implemented, and the specific outcomes of each intervention.

Health Information Form for Parent (LST8) This form will be omitted from the packet. Instead, a line was added to the Summary Record in the follow up section requesting that the classroom teacher consult with the school nurse if deemed necessary.

Parent Notification Letter (LST9) LST9 Parent Notification Letter revised 9/2/09