## Draft Protocol EWIMS Data Team Meeting Log

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a

collection of information unless such collection displays a valid Office of Management and Budget

(OMB) control number. The valid OMB control number for this informat ion collection is XXXX

XXXX

. The time required to complete this information collection is estimated to average 30

minutes per response

. This information collection is voluntary. If you have any comments

concerning the accuracy of the time estimate(s) or su ggestions for improving this form, please write

to: U.S. Department of Education, Washington, DC 20202

– 4651. If you have comments or

concerns regarding the status of your individual submission of this form, write directly to:

Christopher Boccanfuso, U.S. D epartment of Education, Institute of Education Sciences, Room

506D, 555 New Jersey Ave. NW, Washington, DC 20208

- 5500.

The Team Meeting Log will be completed by each EWIMS Data team after each meeting and

will be collected by the evaluation team on a mont hly basis. The evaluation team will use this

information to document the quality and frequency of EWIMS data team meetings as an

indicator of fidelity of implementation.

Meeting Date:

Meeting Time: <##:##> to <##:##>

Participants: <Prepopulate with EWIMS team members, and have space for others>

Activities: (check all that apply)

- Discussed individual students (How many? ___ )

- Discussed groups of students

o Students with disabilities

o Students who are disadvantaged

o Students by race/ethnicity

o English Language Learners

o Custom Cohort

o Other (specify:

_______________________________________________________)

- Assigned students to interventions (How many students? H ow many interventions?)

- Other activities:

o

______________________________________________________________ ____

__________________________________________________________________

____________

o

__________________________________________________________________

__________________________________________________________________

____________

o

____________________________ ______________________________________

__________________________________________________________________

____________Reports Used During the Meeting:

- Student

- L evel Reports

o Flagged Student Report

o Flagged Student Report: Disabilities

o Flagged Student Report: Disadvantaged

o Flagged Student Report: ELL

o Incoming Indicator of Risk Report

o Incoming Indicator of Risk Transition Report

o Off

- to On

- Track Report

o On

- to Off

- Track Report

o Flagged Student Intervention Report

o Intervention Report

o Under

- Credited Student Report

o S tudent Dropout Report

o Custom Reports:

- School

- Level Reports

o Risk Indicator Summary Report

o Risk Indicator Summary Report: Disability Categories

o Indicator Summary Report: Disadvantaged

o Indicator Summary Report: ELL

o Enrollment Status Summary Report

o Intervention Summary Report: Program

o Intervention Summary Report: Tiers

o Intervention Summary Report: Type

o Incoming Indicator Transition Report

- Detailed Student Reports (##)

- Student

- Level Intervention Summary

Action Items:

Item Person Responsible Date Due