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Sample Action Plans - WhyTry

Sample Action plan Site:_____ Circle Intervention Level: Tier 1 Universal Tier 2 Secondary Tier 3 Tertiary Identify your Target Population: _____. Target Group selection criteria and Data that drove this decision: Describe how you will select your group that will receive WhyTry . Examples such as attendance, discipline and GPA data, entering probation or a mental health program and incoming assessment criteria (such as BASC 2, CSR-R or BESS scales: _____. _____. Identify Impact on Targeted Group: Such as decreasing failure rate, lower externalized symptoms on depression scales, pre/post test data: _____.)

3 Tier 2 Results Report Counselor Target Group . Curriculum and Materials Type of Service delivered in what manner? Start Date End Date Process Data:

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