Standard FBA - Elementary 

Elementary Standard FBA and BIP Checklist
This document will guide you through the completion of the Standard FBA BIP process.  The checklist consists of two sections.  The yellow section lists the documents to be completed by the Teacher of Record.  The green section documents are prepared by the Teacher of Record and then completed by the classroom teacher and returned to the Teacher of Record.  

Define Target Behaviors Form    
The team needs to identify ONE TO THREE target behaviors to focus on. You don't have to have three,  but you can have no more than three target behaviors.  The more target behaviors identified the more complicated the plan will become.  Often less is more.  Focus on the things that are most impeding the student's ability to function in the school setting, or to be successful in the classroom.  You will need to address any safety concerns as a target behavior. See below for some way to help identify target behaviors if your team is struggling.  

Systematic Observation - Complete 2
The process requires the completion of two systematic observations, in two separate settings.  It is best to complete observations in settings where the behavior is likely to occur.  

Operational Definitions Page

This is a list of frequently seen school behaviors defined by a formal operational definition.  This is only a list of frequently seen behaviors, it is very possible for your behavior to not be on this list.  

Elementary Student Interview

This form is designed to collect information on the students perspective of their behavior as well as some of the students needs and desires with in the school setting.  It is designed to be completed with the student together with a staff member.  This is a digital form and once downloaded can be typed directly into.  

Questions About Behavioral Functioning  (QABF) - One For Each Target Behavior

The QABF is a problem behavior checklist used to help identify a behavioral function.  List your target behavior in the section labeled "Target behavior being addressed" section of the form.  Have the classroom teacher, or another staff member familiar with the student's behavior, complete the form for each of your target behaviors.  You may have up to three copies of this form during the FBA process (one for each targeted behavior being evaluated).  Once completed follow the directions on the back of the form to help you identify the behavioral function for each of the behaviors being targeted. 

Checklist Of Executive Functioning Skills - Complete 1 copy 

This checklist helps to identify areas of Executive Functioning Deficit.  Classroom teacher or an individual that knows the student well should complete this form and return it to the Teacher of Record.  Follow the directions on the last page of the form to help you identify the three most significant areas of executive functioning deficits.

Functional Behavioral Assessment (FBA) Template
Information collection from the above form and data collection is then used to complete this template.  This information is then added to IIEP under the Evaluation Tab.  This information will also be used to completed multiple section of the BIP located under the Special Considerations Section of IIEP.