When a teacher first identifies a student who would benefit from the Intervention Assistance Team, this form is how they document everything that they know about the student and have already done for the student. It is a 3-page form that can be edited to meet the school's needs. This form is one of the forms in my series of IAT forms, and it matches the appearance of the rest.
The first page documents student strengths and weaknesses. It also gives teachers a "to-do" list to complete prior to making the IAT referral (call parents, review the student's cumulative folder, talk to school nurse/counselor, collect work samples, etc.).
The second page has teachers document all areas of concern in four different categories. It also gives teachers a place to document attendance, grades, and disciplinary actions.
The third page is for documenting accommodations, modifications, and interventions. This page also serves as a teaching tool for general education teachers because it clearly explains the difference between accommodations, modifications, and interventions. Often, our teachers mistakenly think that they have been doing interventions, when in fact they have only been doing accommodations or modifications.
This form is intensive, but the information yielded from the form is invaluable for the IAT team. The completion of this form can help ensure that the team has considered all angles of a student's situation when developing a plan.