Positive Behavior Support (PBIS)

Forms and Files

Positive Behavioral Intervention and Supports (PBIS)
Title Download Size
Behavior Websites .doc Microsoft Word  31K
Conflict Cycle Diagram .jpg   JPG Image  266K 
Define Behavior Activity .doc Microsoft Word  39K
Disabilities Affecting Behavior .doc Microsoft Word  195K
Minutes Sample .doc Microsoft Word  38K
PBIS Meeting Minutes Sample .doc Microsoft Word  66K
Preventing Bullying .pdf  Adobe Acrobat  3.5M
Prevention Strategies .doc Microsoft Word  27K
School-wide Behavior Support Strategies .pdf  Adobe Acrobat  1.3M

PBIS Surveys

 Title  Download  Size
BOQ Scoring Form  .pdf  Adobe Acrobat  47K
BOQ Scoring Guide  .pdf  Adobe Acrobat  110K
BOQ Team Member Rating Form  .pdf  Adobe Acrobat  33K
NYS Team Implementation Checklist (TIC)  .doc Microsoft Word  149K
Safety Survey  .doc Microsoft Word  102K
Self Assessment Survey (SAS)  .doc Microsoft Word  202K

School Wide Information System (SWIS)

 Title  Download  Size
Blank Discipline Referral Flow Chart  .doc Microsoft Word  37K
SWIS Referral Form with LSCI-TCI-ABC  .doc Microsoft Word  58K
SWIS Referral Form Sample  .doc Microsoft Word  45K
SWIS Office Referral Definitions  .doc Microsoft Word  214K

Functional Behavior Analysis (FBA) Materials

 Title  Download  Size
 BIP Guidlines & Sample Strategies  .doc Microsoft Word  57K
 BIP Summary 2010 Sample  .doc Microsoft Word  52K
 Categorizing & Prioritizing Behavior  .doc Microsoft Word  610K
 Competing Behavior Pathway  .pdf  Adobe Acrobat  13K
 FBA Assessment Checklist  .doc Microsoft Word  33K
 FBA Summary 2010  .doc Microsoft Word  51K
 FBA NYS Education Department Compliance Checklist - December, 2010 Revision # 6  .doc Microsoft Word  53K

Direct Observation Forms

Title Download Size
 ABC Chart  .doc Microsoft Word  31K
 ABC Chart Checklist  .doc Microsoft Word  119K
 ABC Chart Checklist with Frequency Count  .doc Microsoft Word  81K
 ABC Revised  .doc Microsoft Word  62K
 ABC Checklist Duration Intensity Data  .pdf  Adobe Acrobat  66K
 Frequency Chart  .doc Microsoft Word  72K
 Frequency Chart with Schedule  .doc Microsoft Word  68K
 Latency Data Recording Sheet  .pdf  Adobe Acrobat  31K
 Latency Definition and Recording  .pdf  Adobe Acrobat  87K
 Recording Sheet Latency  .rtf      Microsoft Word  39K
 Scatter Plot  .pdf   Adobe Acrobat  300K

Indirect Assessment Tools

 Title  Download  Size
 Assessment Tools Criteria  .pdf  Adobe Acrobat  15K
 FAIT Parent Version October 2007  .doc Microsoft Word  62K
 FAIT Staff Version October 2007  .doc Microsoft Word  74K
 FAIT Student Reponse Form October 2007  .doc Microsoft Word  72K
 Student Functional Assessment  .doc Microsoft Word  67K

State Regulations for Behavior

 Title  Download Size 
 201 - Oct 2008 - 809 - VESID  .pdf Adobe Acrobat  69K
 200.1-200.5 - 809 - VESID  .pdf Adobe Acrobat  383K
 200.6-200.22 - 809 - VESID  .pdf Adobe Acrobat  355K

Best Practices/Rubrics

Title Download Size
Best Practices Standards (2008) .pdf Adobe Acrobat 196K
BIP Summary (2010) .pdf Adobe Acrobat 60K
Quality Indicators for Positive Behavior Supports .pdf Adobe Acrobat 387K

PBS Home
Best Practices/Rubrics
Professional Development
Forms and Files 

District 75  |  400 First Avenue, New York, NY 10010  |  (212) 802-1500  |  Contact