2018-2019 PBIS Interest Survey

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If you/your team is interested in PBIS trainings at OCDE for 2018-2019, please complete the survey below.

Email *

First Name *

Last Name *

Title *

If you do not see your Title below, please click other and add it there.

Principal

Assistant Principal

Counselor/Psychologist

Teacher

PBIS Coach

TOSA

Other:

Required

School District/Organization *

School Site (where PBIS will be implemented) *

School Phone Number *

Enter your phone number without any dashes or spaces example: 7145558877

If we need to contact you what is the best time of day to call you?

Which PBIS Tier is your team interested in receiving training for in the 2018-19 School year? *

Please select one

TIER 1 - teams are exploring PBIS and need to lay foundations of School-Wide PBIS

TIER 2 - teams are exploring and building targeted behavior supports

TIER 3 - teams are building the intensive interventions needed for few students

SUSTAINABILITY - for sites implementing for multiple years and looking to enhance practices and sustain implementation

REFRESHER SERIES - for schools who have gone through team training but need a booster or abridged recap for new team members

Required

Who will be attending the PBIS Coach Forums? *

The PBIS Coach Forums are separate from the PBIS Team Trainings and should be attended by a PBIS Coach and School Administrator( please list the name of the Coach & Principal/Administrator who will be attending the coaches forums below). Tier 3 may include a counselor or school psychologist for these forums.

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