On this page...

  • SLC forms: Referrals, Meeting Minutes, Intervention card for CUM record

  • SLC diagnostic plans & assessments

  • SLC Resources

  • Significant Concerns Alert form

SLC Documents

Grade Retention To Address COVID-Related Learning Gaps?

Here are talking points to guide discussions about whether or not retention is an appropriate way to address fears of learning delay during distance learning.

Accelerating Learning Post-COVID- A Guide for Parents Feb 2021 no logo.pdf

Student Learning Committee (SLC) Forms & Resources

SLC Referrals:

  1. Use the SLC Reminder below as a referral by gathering all the documentation indicated for academic skill levels, work samples, attendance, and Office Data Referral reports from SWIS.

  2. For behavior issues, also complete the Tier 2 SLC Behavior Referral, which is a one-page checklist

  3. Follow your school's procedures to schedule the SLC

SLC Reminder REV 7.11.18.doc

SLC Diagnostic Plans for Reading & Math:

••REVISED SLC DIAGNOSTIC assessment PLAN 1.16.15.doc

SLC Forms:

•Student Learning Committe Minutes Meeting.docx

Online Referral Form Templates

Google Form TEMPLATE:

      1. Make a copy & rename with your school's name

      2. Add your Tier 2 & 3 Team members as collaborators

Google Form TEMPLATE:

      1. Make a copy & rename with your school's name

      2. Add your Tier 2 & 3 Team members as collaborators

SPANISH Parent Request for Assistance from Tier 2 Team or SLC

This is a Google Doc Version - Please make a copy before renaming it using this format: "Tier 2 Referral for [student name]"

Tier 2 Referral Part 1 Behavior and Part 2 Social Emotional 1.14.20

Part 1 - Academic & Behavior

Part 2 -Social Emotional (Counseling)

**Attach a copy of your classroom matrix and circle the specific matrix behavior you would like to improve

Find resources for building a classroom matrix on the Classroom Practices page

All SLC docs in shared folder

Significant Concerns Alert Form:


  • To document concerns for next year's teacher

  • When an SLC is not needed but the student needs monitoring and ongoing low level supports.

  • Print on hot pink paper and place in front of CUM.

Significant Concerns Alert Revised 2018.doc

WCSD MTSS Problem Solving Process & Decision Rules

MTSS Flow chart WCSD 7.24.18.pdf