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The EVS 013 form is a critical tool utilized by educators to monitor and document the progress of students requiring additional intervention. This supplemental progress monitoring form is designed for use within the School District of Escambia County and serves to enhance the support offered to students facing academic challenges. It enables teachers to record essential details, including the student's name, identification number, and grade level, alongside specific intervention strategies being implemented. Key components of the form include sections for documenting initial interventions, measurement criteria, and criteria for success. Furthermore, it outlines the roles of various individuals involved in the intervention process, ensuring that each participant—from the teacher to the parent—has a clear understanding of their responsibilities. Plans for future diagnostics, suggested interventions for parents, and the necessity for follow-up meetings are also highlighted. The EVS 013 form fosters a collaborative approach, as signatures from educators, parents, and facilitators indicate their consent and commitment to the student's progress. Through systematic documentation and assessment, this form plays a vital role in tracking the effectiveness of interventions, ultimately striving to meet the unique needs of each student.

Evs 013 Example

The School District of Escambia County

Evaluation Services

30 East Texar Drive, Pensacola, FL 32503

(850) 469-5569

Supplemental Progress

Monitoring Form

Student Name: _____________________________________ Student Number: _________ FSNI: _________________

(Legal Name) LastFirstMiddle

Grade: ______ DOB: _________ School: __________________________ Teacher: ___________________________

Supplemental Intervention Form from Tier ___ IST Meeting on Date__________

Specific intervention

Delivery

Person(s)

Measurement

Review

 

Student’s

 

strategy: (SRA, Earobics,

Method/Setting/

Responsible:

Tool/Criteria for

Date(s):

 

Response to

 

contingency contract, etc.)

Frequency: (direct

 

Success:

(6 to 12 weeks of

 

Intervention:

 

 

instruction, small

 

(DIBELS/risk level,

implementation)

 

Attach progress

 

 

 

 

 

 

 

group in classroom, 3-

 

CBM/cwpm,

 

 

monitoring data (i.e.,

 

 

5 x’s per week, etc.)

 

FOCUS/mini-

 

 

DIBELS, graph, tally

 

 

 

 

assessment, tally

 

 

sheet)

 

 

 

 

sheet/# of

 

 

 

 

 

 

 

behaviors, etc.)

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

Criteria for Success

 

 

 

 

 

 

 

___Met ___Not Met

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

Criteria for Success

 

 

 

 

 

 

 

___Met ___Not Met

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

Criteria for Success

 

 

 

 

 

 

 

___Met ___Not Met

 

Suggestions for Parents:

 

 

 

 

 

 

 

Parent Signature ______________________________________ (Indicates consent for diagnostics if requested by IST)

If parent did not attend: Method of contact:

Date:

By whom:

 

SIGNATURES: Teacher:

 

IST Facilitator:

 

 

Other:

 

Other:

 

 

Request for Diagnostic Assessments

 

_____ Yes _____ No (If IST requests diagnostic assessment, a follow-up meeting is required)

Area(s) to be assessed: ____Reading

____Math ____Written Language ____Behavior

____Other

Person responsible:

Received by Evaluator (Initials/Date):

 

 

 

Conference to Review Results of Diagnostic Assessments

Date_________

Diagnostics Instrument: _____________ Date Administered:_______ Results:_________________________________

(Attach evaluation report)

(Tier III interventions should be reviewed and modified as needed on this form or new Tier III Form)

Signatures of Participants- Parent:

Teacher:

Evaluator:

 

 

 

Conference to Review Response to Interventions

Date_________

Problem resolved. Continue to monitor progress at class level.

Significant progress or resolution of original problem; additional area(s) of deficiency identified; use new Tier II or III form to address new area(s).

Progress being made; current intervention adequate; continue with plan and monitoring of intervention.

Problem not resolved; current interventions not adequate; redesign/modify interventions on new Tier II or III form.

Problem not resolved. Proceed to next IST Tier. Interventions continue while awaiting meeting.

Parent Signature ______________________________________ (Indicates consent for screenings if requested by IST)

If parent did not attend: Method of contact:

Date:

By whom:

SIGNATURES: Teacher:

 

 

IST Facilitator:

 

Other:

 

 

Other:

 

Comments:

 

 

 

 

 

 

 

EVS-013 Revised 07-01-06

Distribution: Cumulative Folder, Parent, IST

 

Form Characteristics

Fact Description
Form Purpose The EVS 013 form is used to monitor the progress of students receiving supplemental interventions in Escambia County schools, allowing educators to document and assess effectiveness.
Student Information It collects essential student details, including name, number, grade, and school, ensuring accurate tracking of each student's intervention process.
Parent Consent The form requires parent signatures to indicate consent for diagnostics and screenings, emphasizing the collaboration between parents and the school.
Intervention Review Interventions are evaluated based on specific criteria for success. This structured approach helps identify whether the interventions are effective.
Diagnostic Assessments If requested, diagnostic assessments are documented on the form, necessitating a follow-up meeting to discuss results and potential next steps.
Governing Law This form operates under the guidelines of Florida's Exceptional Student Education (ESE) regulations, ensuring compliance with state educational laws.

Guidelines on Utilizing Evs 013

Filling out the EVS 013 form is an important task that ensures clear communication about a student's progress and interventions. After completing the form, it will need to be reviewed by relevant parties to ensure proper decisions can be made regarding the student's support needs.

  1. Student Information: Fill in the student's legal name, student number, FSNI, grade, date of birth, school, and teacher's name.
  2. Supplemental Intervention Details: Indicate the Tier number for the intervention, and the date of the IST meeting. Specify the intervention being implemented, the person responsible for delivery, and the measurement tools you will use.
  3. Strategy Information: Describe the student's strategy, including methods and frequency of interventions. Attach any progress monitoring data as necessary.
  4. Criteria for Success: There are three criteria listed. Mark whether each criterion has been met or not met.
  5. Parent Suggestions: Provide suggestions tailored for parents to support their child's progress.
  6. Parent Signature: Obtain the parent’s signature to confirm consent for diagnostics if required by the IST. If the parent did not attend, note the method of contact and who initiated it.
  7. Signatures: Collect signatures from the teacher, IST facilitator, and any other involved parties.
  8. Request for Diagnostic Assessments: Indicate whether a diagnostic assessment is requested. If yes, outline the areas to be assessed.
  9. Person Responsible: Specify who will be accountable for the diagnostic assessments.
  10. Review Conference Information: Enter the date for the conference to review results, the diagnostic instrument used, and the date it was administered, along with the results.
  11. Conference to Review Response: Complete the section based on the outcomes of the interventions, clearly discussing the next steps.
  12. Comments Section: Use this space to include any additional comments that are relevant.

What You Should Know About This Form

What is the purpose of the EVS 013 form?

The EVS 013 form serves as a Supplemental Progress Monitoring Tool used by educators in the School District of Escambia County. This form assists in documenting the progress of students who are receiving interventions under the Individualized Student Team (IST) framework. By collecting specific data, it helps monitor student progress, evaluate the effectiveness of interventions, and guide future educational decisions.

Who should fill out the EVS 013 form?

Primarily, the form should be completed by teachers working with students who require supplemental interventions. However, input from the IST members, which may include special education staff, counselors, and parents, is also essential for providing a comprehensive view of the student's progress.

What information is required on the EVS 013 form?

The EVS 013 form requires detailed information including the student’s legal name, student number, grade, date of birth, school, and teacher's name. Additionally, it requires specifics about the selected interventions, progress measurement, criteria for success, suggestions for parents, and consent signatures, among other details.

How is student progress monitored using this form?

Student progress is monitored through various metrics documented on the form. These might include specific assessments like DIBELS, CBM, or other tailored evaluation tools. The form allows teachers to note the frequency of intervention delivery and gauge the effectiveness by reviewing success criteria and attaching relevant data. Continuous updates ensure accurate tracking of each student's improvement.

What should parents know about signing the EVS 013 form?

Parent signatures on the EVS 013 form indicate their consent for any diagnostic assessments requested by the IST. This is an important step, as it validates the collaboration between the school and families in support of student learning. If a parent does not attend the IST meeting, the method of communication and the date should also be recorded on the form.

What happens after the diagnostic assessments?

Once the diagnostic assessments are completed, the results are reviewed in a conference meeting. This meeting is crucial for discussing the student's performance and determining the next steps based on the findings. Options include modifying existing interventions, continuing current strategies, or proceeding to the next tier of intervention as necessary.

Can the interventions documented on the EVS 013 form be changed?

Yes, the interventions can be adjusted as needed. The form allows for ongoing updates regarding a student’s progress. If the interventions are not effective, educators can use the insights gained from assessments to redesign the approach or escalate interventions to a higher tier as indicated by student needs.

What happens if the original problem is not resolved?

If the issue addressed by the interventions remains unresolved after a review, the IST will consider next steps. This could involve updating the intervention plan, monitoring for additional areas of concern, or moving the student to a higher tier of support while waiting for further meetings to determine the best course of action for the student's educational needs.

Where should the completed EVS 013 form be distributed?

After completion, the EVS 013 form should be distributed among several key parties. It is provided to the student's cumulative folder, given to the parents, and shared with all members of the IST. This ensures a clear line of communication and that everyone involved has access to the necessary information for supporting the student effectively.

Common mistakes

Filling out the EVS 013 form is a crucial step in monitoring a student’s progress, but it’s not uncommon for mistakes to occur. Understanding what common errors can lead to delays or complications can help ensure successful completion of this form. Here are nine mistakes to avoid.

One frequent mistake is leaving out the student's legal name. The form asks for the legal name, but individuals often mistakenly provide a nickname or an incomplete version. This can lead to confusion when processing the documents. Ensuring the full name is listed helps maintain accurate records and prevents future issues.

Another common error is failing to fill out the student number. This number is essential for tracking the student’s progress within the school system. Without it, the evaluation may not be linked to the correct student profile, causing unnecessary delays in evaluation and intervention recommendations.

People also frequently overlook the section for intervention details. It's important to clearly specify the type of interventions that will be utilized, including their frequency and duration. Without this information, evaluating the effectiveness of these strategies becomes nearly impossible. Be thorough; vague descriptions can complicate future assessments.

Omitting the signatures of the required participants is another mistake that can derail the process. Each signature on the form signifies approval and acknowledgment, and lacking any of them may result in the form being deemed invalid. Always ensure that all necessary parties have filled in their signatures before submission.

Inaccurate recording of dates can lead to confusion. Whether it’s the date of the IST meeting or the intervention start date, each piece of information should be precise. Double-check these dates to avoid any discrepancies that could affect follow-up meetings or assessments.

Another oversight is not attaching the progress monitoring data. This critical information supports the evaluation process and shows how interventions have impacted the student's performance. Missing this data means the child’s progress cannot be accurately assessed, which can stall further intervention efforts.

Some individuals forget to include suggestions for parents. This section is vital for engaging families in the student’s educational journey. Lack of input here may disengage parents from the process, reducing the chances of home support for the interventions being implemented.

Failure to indicate whether a diagnostic assessment is requested can also lead to complications. If the IST requests this assessment but does not document it properly, the necessary follow-ups might not occur. Make sure to check the box accurately, based on the team's discussion.

Finally, neglecting to review the completed form before submission is a common mistake. Taking a few moments to go over the information can catch minor errors that might complicate a process. A quick review ensures that all sections are filled out completely and correctly.

Avoiding these mistakes can significantly enhance the effectiveness of the evaluation process. By paying attention to detail and ensuring all necessary information is included, you’ll contribute to supporting the student’s educational journey successfully.

Documents used along the form

The EVS 013 form is part of a comprehensive process used for monitoring student progress within the School District of Escambia County. It has several companion documents that facilitate effective communication and the implementation of educational interventions. Below is a list of commonly used forms and documents that support the EVS 013 form, each serving a distinct purpose in the evaluation and intervention process.

  • IST Meeting Minutes: This document captures the discussions, decisions, and action items from the Intervention Support Team (IST) meetings. It provides a record of what strategies were considered and helps ensure accountability among team members.
  • Tier II or III Intervention Form: This specific form outlines targeted interventions for students who require more intensive support. It details the strategies being implemented, responsible personnel, and how the effectiveness of these interventions will be evaluated.
  • Progress Monitoring Data Collection Sheet: Teachers use this sheet to document student performance over time. It tracks specific metrics, helping educators assess the effectiveness of interventions and make necessary adjustments.
  • Diagnostic Assessment Request Form: This form is submitted when the IST identifies the need for further evaluation of a student's learning challenges. It specifies areas for assessment and seeks parental consent for diagnostic testing.
  • Parent Notification Letter: This letter is sent to inform parents about the interventions being implemented for their child. It outlines the process and emphasizes the importance of their involvement in the monitoring efforts.
  • Behavior Intervention Plan (BIP): When behavioral issues are present, a BIP is developed to address specific challenges and outline strategies for improvement. It is essential for tracking behavior-related interventions.
  • Evaluation Report: Following diagnostic assessments, this report summarizes the findings and recommendations for further educational support. It serves as a critical tool for planning future interventions based on the assessments conducted.

These documents collectively enhance the effectiveness of the EVS 013 form in promoting student success through targeted interventions and ongoing progress monitoring. Each form has its role, helping educators and families work together to address the needs of students effectively.

Similar forms

  • IEP (Individualized Education Program): Like the EVS 013 form, the IEP is a document that outlines specific educational goals and interventions for students with disabilities. Both forms require detailed intervention strategies and progress monitoring.
  • 504 Plan: This plan is similar in that it provides accommodations and modifications for students with disabilities. Both documents focus on ensuring appropriate support to help students succeed within the school environment.
  • Behavior Intervention Plan (BIP): The BIP, like the EVS 013 form, addresses specific interventions based on individual needs. Both documents involve collaboration among teachers, specialists, and parents to support student outcomes.
  • Progress Monitoring Form: This form tracks student progress over time, much like the EVS 013. Both require detailed measurement of student achievement and response to interventions to ensure effective teaching strategies are in place.
  • Tiered Intervention Plan: Similar to the EVS 013, this document details structured interventions across different tiers of support. Both emphasize monitoring effectiveness and making necessary adjustments based on student responses.

Dos and Don'ts

When filling out the Evs 013 form, it is important to follow certain guidelines to ensure accuracy and completeness. Below are five things to do and five things to avoid.

  • Do ensure all fields are completed. Providing comprehensive information is essential for effective evaluation.
  • Do use clear and legible handwriting. Clear writing helps prevent misunderstandings later on.
  • Do attach all necessary documentation. Relevant progress monitoring data should accompany the form.
  • Do review the information for consistency. Ensure that details such as dates and names are accurate across sections.
  • Do obtain all required signatures. Having consent from parents and educators is critical for formal compliance.
  • Don't leave any questions unanswered. Incomplete forms can delay assessments and intervention planning.
  • Don't use abbreviations without clarification. Clarity is vital, especially for terms that may not be familiar to everyone.
  • Don't submit without a thorough review. Double-check to catch any potential errors prior to submission.
  • Don't forget to include the student's legal name. Using the proper name avoids confusion with records.
  • Don't overlook the timeline for data collection. Adhering to specified timeframes is crucial for measuring student progress effectively.

Misconceptions

Misconceptions about the EVS 013 form can create confusion for parents and educators alike. Here are four common myths clarified.

  • Misconception 1: The EVS 013 form is only for students with severe learning disabilities.
  • This belief is incorrect. The form is applicable to any student who may need additional support, regardless of the severity of their challenges. It provides a structured way to monitor progress for all at-risk students.

  • Misconception 2: Completing the EVS 013 form guarantees immediate intervention.
  • While the form initiates the process, it does not ensure immediate action. After completion, there may be additional assessments and meetings required to determine the best course of action for the student.

  • Misconception 3: Only teachers can fill out the EVS 013 form.
  • This is not true. While teachers often lead this process, parents can also provide input. Their insights are valuable in understanding the student's needs and current progress.

  • Misconception 4: The EVS 013 form is ineffective in tracking student progress.
  • This form is designed specifically to monitor and evaluate a student’s response to interventions. It has proven to be an effective tool in identifying successful strategies and areas that need further improvement.

Key takeaways

Here are important points to consider for filling out and using the Evs 013 form:

  • The form is designed for monitoring student progress through supplemental interventions.
  • Ensure the student's legal name, number, and FSNI are accurately filled in at the beginning of the form.
  • Identify the tier of intervention being provided and the IST meeting date.
  • Clearly outline the specific intervention strategy, delivery personnel, and frequency of instruction.
  • Attach any relevant progress monitoring data to demonstrate the student’s progress.
  • Parents must sign the form to indicate consent for diagnostics; if absent, document how they were contacted.
  • It is essential to note whether the criteria for success have been met for each intervention listed.
  • The form must be updated and reviewed regularly to ensure interventions are effective and responsive to the student's needs.