PACSD6 - Administrative Handbook

Administrative Regulation300 Student Support Services

Levelled Literacy Intervention (LLI) Tracking Sheet

School Year: ____________

School: _________________ Teacher: ________________

Please record the following information about every student that you see for LLI this year. Please submit your completed form to Superintendent of Student Services by mid-June.

Student Name Grade DRA Reading level before starting program

DRA Reading level when exiting the program

Number of days of Intervention

Level of parent involvement

Always, sometimes, never

Attendance

__/__ days

document.docx Page 1 of 4

PACSD6 - Administrative Handbook

Administrative Regulation300 Student Support Services

Leveled Literacy Intervention (LLI) Report

Student: _______________________________________________

Grade:__________________

Entry date_____________________ Entry level:____________________

Exit date______________________ Exit level:_____________________

Number of days in LLI:__________________

Comments:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Student Support Services Teacher (this template can be copied onto school letterhead)

document.docx Page 2 of 4

PACSD6 - Administrative Handbook

Administrative Regulation300 Student Support Services

Sample Parent Letter information for LLI:

School Letterhead

Date:

Dear Parent/Guardian,

As per our phone conversation, I understand that _______________________, has been selected to participate in the Leveled Literacy Program (LLI) in order to receive extra daily small group instruction in reading strategies.

I understand that my child will participate in the program until he/she reaches the expected level, until he/she has received 90 lessons or until it is determined that the program no longer meets the needs of my child.

I understand that in order to benefit from this program, my child must attend school every day. I understand that it is most beneficial to complete the nightly homework.

______________________________________________________________

Signature Date

document.docx Page 3 of 4

PACSD6 - Administrative Handbook

Administrative Regulation300 Student Support Services

Awarded to_____________________________________________________________________________

_______________ School _______, 201_

Signed: ______________________

document.docx Page 4 of 4

LLI Completion Certificate

For successfully completing ______ lessons of the Leveled Literacy Intervention Reading Program. You are now a stronger reader and are able to understand more of what you read. Congratulations!