Intervention Central

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Yes/No

Did the student succeed in this behavior goal?

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Step 1

Enter the basic form information

Behavior Report Cards are customized behavior rating forms that educators can use to evaluate targeted student behaviors on a daily basis or even more frequently.

Use this application to create your own Behavior Report Cards in pdf format with rating items unique to the students that you are rating. You are welcome to create Behavior Report Cards at no cost for use in your school or home setting and to share them with others.

**NOTE: If you would like to continue to use the previous version of the Behavior Report Card Maker--the Behavior Reporter--you can find it HERE.**

Also, you may want to review the Intervention Central 'QuickGuide' for helpful directions on how to create a free account as well as to open, save, and delete documents.

Complete the fields below as the first step in creating your Behavior Report Card.

Report card title

Directions

Font family

Font size

Person to fill out the report card

Student's classroom

Student's first and last name

Gender

Append signature section

Instructions for report card signer

Person to sign the report card

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Step 2

Select your behavior goal statements

You have the option of selecting and editing pre-defined goal statements for your behavior report card by clicking on any of the behavioral categories below. Or you can create your own custom goal by clicking on the 'Add Custom Goal Statement' link.

		Goal Statement	Response Format
Preview Goal Statement Preview Preview your goal statements Here is how your behavior rating goals will appear in the final Behavior Report Card.

Click on the categories below to add pre-defined goal statements:

Add Custom Goal Statement

Custom Goal Statement:
Add Goal Statement Cancel

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Step 3

Generate the report card

You can generate your Behavior Report Card in several formats: Daily, Daily by Time of Day, Daily by Location, and Weekly. You can also click the 'Preview' button at any time to view any one of these report card types.

Daily
Daily by Time of Day
Daily by Location
Weekly

E-mail PDF

Preview Download PDF

E-mail PDF

Preview Download PDF

You can insert up to 5 different time periods in the 'Daily by Time of Day' version of the Behavior Report Card. To select a time span, (1) click on the Start Time box and enter a start time, (2) click on the End Time box and enter an end time, and then (3) click on the Add Time of Day link to save that time-span.

	Time

Start Time End Time Add Time Of Day

E-mail PDF

Preview Download PDF

You can insert up to 5 different locations in the 'Daily by Location' version of the Behavior Report Card. To select a location, (1) type a location into the text box and then (2) click on the Add Location link to save that location.

	Location

Add Location

E-mail PDF

Preview Download PDF

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What Works Clearinghouse Practice Guides

URL:

http://ies.ed.gov/ncee/wwc/publications/practiceguides/

Practice guides provide practical recommendations for educators to help them address the everyday challenges they face in their classrooms and schools.

New York State RTI Technical Assistance Center

URL:

http://www.nysrti.org/

NYS Regulations define RtI as a school district's process to determine if a student responds to scientific, research-based instruction.

HELPS Reading Fluency Program

URL:

http://www.helpsprogram.org/

The Helping Early Literacy with Practice Strategies (HELPS) Programs integrate easy-to-use instructional strategies that are specifically designed to improve students' reading fluency.