Novi Community School District

Student Name:__________________________________________Current Grade:__________Date of Review:______________Target Academic Area (TAA):_____________________

Rubric for Identification of Students Eligible for Academic Interventions K-12

In each column, check the ONE item that best describes the student.
Achievement Data & Trends

Points

Performance Level in
Target Academic Area
(State & National)

Performance Level in
Target Academic Area
(District)

___Typically at or below
25th percentile on
nationally normed
achievement tests;
multiple assessments
within TAA
___Typically between
the 20th-33rd percentile
on nationally normed
achievement tests;
multiple assessments
within TAA.

___Typically not
proficient on district
assessments in target
academic area.
___Typically partially
proficient on district
assessments in target
academic area.

___Typically between
the 25th-37thpercentile
on nationally normed
achievement tests;
multiple or single
assessments within
TAA.

___Typically proficient
on district assessments
in target academic area.

___Typically at or above
37th percentile on
nationally normed
achievement tests;
multiple or single
assessments within
TAA; or no assessment
record.

___Typically advanced
on district assessments
in target academic area;
or no evidence or data
available.

Instructional Process & Contextual Data

Grades within
Target Academic Area

Student Behavioral
Dispositions

Academic Growth
Evidence

___ Typically failing

within target academic
area over time.

___Demonstrates
consistent attendance,
adequate investment in
learning and effective
work habits.

___ Typically Ds within

target academic area
over time; or typically
failing or Ds within
courses related to
target academic area
over time.
___ Currently failing or
D within target academic
area within a single
year or class.

___Demonstrates
inconsistency in not
more than one of the
following areas:
attendance, investment
in learning, work habits.

___Evidence of minimal
growth in response to
quality core instruction
in target academic area
over an extended period
of time.
___Evidence of
inconsistent growth in
response to quality core
instruction in target
academic area over an
extended period of time.

___Demonstrates
definite challenges in at
least two of the following
areas: attendance,
investment in learning,
work habits.

___Evidence of some
growth in response to
quality core instruction
in target academic area
over an extended period
of time.

___Current grades of Cor better within target

academic area; or
lacking grade history/
transcripts.

___Demonstrates
significant challenges in
two or more of the
following areas:
attendance, investment
in learning and work
habits; or no evidence.

___ Evidence of
consistent growth in
response to quality core
instruction in target
academic area over an
extended period of time;
or no evidence or data
available.

Academic Classroom
Support
(Current/ On-Going)

Academic Intervention
Support
(Past & Current)

___Evidence of constant
re-teaching; student
lacks the necessary
skills to respond to
direct instruction within
the classroom.
___ Evidence of
frequent re-teaching;
student needs additional
skills to respond to
some of the direct
instruction within the
classroom.
___ Evidence of
occasional re-teaching;
student may need
additional skills, but
tends to respond to
direct instruction within
the classroom.

___Receives minimal or
no other academic
intervention support; no
history or none
available.

___ Evidence of minimal

re-teaching; student
tends to respond to
direct instruction within
classroom without
additional supports; or
no evidence or data
available.

Scoring and Decision-Making - based upon the total score, the students attendance in a prescribed intervention is:
Expected = score of 45-63

Office of Academic Services

Recommended = score of 36-44

Not Expected = score of 21-35

v.05/06/2011

Not Eligible = score of 20 or below

___Receives some
academic intervention
support available inside
or outside the school
setting; some history.
___Receives academic
interventions through
other educational
support programs (ESL,
Title I, special ed.) but
not specific to target
academic area; or 18
weeks in prior TAA;
clear history.
___Receives academic
interventions through
other educational
support programs (ESL,
Title I, special ed.) for
target academic area; or
18+ weeks in prior
TAA; significant history.

Novi Community School District

Student Name:__________________________________________Current Grade:__________Date of Review:______________Target Academic Area (TAA):_____________________

ENTRY Review Score:

EXIT Review Score:

ENTRY Review - Completed by:

Name:______________________________ Title____________________

EXIT Review - Completed by:

Name:______________________________ Intervention Teacher

Name:______________________________ Title____________________

Name:______________________________ Title____________________

Name:______________________________ Title____________________

Name:______________________________ Title____________________

Name:______________________________ Title____________________

Name:______________________________ Title____________________

MEAP History 3 Years*

Scaled Score
Year
3)
4)
5)
6)
7)
8)

ELPA History 3 Years*

Score
Year

Office of Academic Services

Assessment Details Related to Targeted Academic Area (TAA) ____________________

NWEA History 3 Years*
EXPLORE:
District Assessments:
RIT:
Year:
Writing Holistic (6pt) 3 Years*
Reading:
Subscore:
Score
Grade/ Year
English:
Subscore:
Math:
Subscore:
Science:
Subscore:
PLAN:
Subscore:
Reading
Fountas & Pinnell 3 Years*
RIT:
Letter Level
Grade/Year
English:
Subscore:
Math:
Subscore:
Science:
Subscore:
Subscore:
Subscore
RIT:
Subscore:
Subscore:
Subscore:
Subscore:
Subscore:

v.05/06/2011

Other Assessments

Grades 3 Years*