The Missouri state recognition awards will be presented at the June, 2012 Summer Institute. Each level of the awards is detailed in the criteria grid and descriptors, as well as the Application document below.
Schools that are interested in applying for an award should first contact their regional consultant and/or school district facilitators. The consultants and facilitators can provide more complete information about the process and what is required of schools.
The purpose of the Missouri SW-PBS School Recognition Program is to identify and recognize Missouri schools for successful implementation of School-wide Systems of Positive Behavior Support. Criteria are based on effective implementation of key features (of the essential components) outlined by the OSEP Center on Positive Behavioral Interventions and Support. Successful applicants will demonstrate superior performance in the following areas (details delineated in application):
Instructions:
RECOGNITION RECIPIENTS MUST AGREE TO SERVE AS DEMONSTRATION SITES FOR SW-PBS. Demonstration sites may be called on to share their success in the following ways: (1) allow representatives from schools or districts to visit your building and attend a SW-PBS Leadership Team meetings, (2) share materials related to implementation, (3) provide data and other aspects of the implementation process for publication purposes and (4) arrange for SW-PBS information from your district/school be displayed on your website.
MO SW-PBS School Recognition Program Application 2011-2012 
MO SW-PBS School Recognition Program Scoring Checklist 2011-2012
To be considered for the Missouri SW-PBS School Recognition Program, this application and supporting documents must be submitted in accordance with the established timelines and must meet all criteria.
You may fill out sections below online and print them out.
| School and District Name: | |
| SW-PBS Consultant: | |
| School Website: | |
| Grade levels served: | |
| Total number of students enrolled: |
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| Percent of ESL students: |
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| Percent of IEP students: |
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| Percent of students eligible for free/reduced lunch: |
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Indicate tiers at which your school has received instruction/support from SW-PBS staff during the 2010-2011 school year:
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Tier 1_____ Tier 2_____ Tier 3______ |
| Person Completing School Application Signature: |
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| Principal Signature: |
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| SW-PBS Contact Person for Your School: |
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| SW-PBS Contact Person's Email: |
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| SW-PBS Contact Person's Phone: |
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| For Official Use Only - Date Received: |
_______________________________________ |
| For Official Use Only - Received By: |
_______________________________________ |
| For Official Use Only - Application Complete: |
YES____________ NO___________ |
Please check the boxes below if applicable in your building:
| Systems | Active Administration SW-PBS Team in Place SW-PBS Team meets at least monthly |
| Data | Data collected and reviewed regularly Team decisions based on data Team shares data with staff at least monthly Multiple and consecutive comparison data aggregated, used, reported, and assessed for school improvement with full staff input Required forms submitted to regional SW-PBS consultant on time |
| Practices | SET @ 80/80%; BoQ 70% SET @ 90/90%; BoQ 75% SET @ 95/95%; BoQ 80% |
Please submit a narrative of no more than 1,000 words addressing the systems, data, and practices of your Tier 1 SW-PBS process. Use the following questions to guide elements of your narrative.
A. Systems:
1. What do you see as the successes of your team?
2. Please discuss your administrator’s role, staff representation and support, and parent/community/students representation.
3. Discuss your system for disseminating your SW-PBS process with new faculty/staff/students/families throughout the school year.
B. Data:
1. How does the team use data to identify status, need for change, and effects of interventions/strategies?
2. How is the data shared with all staff, community and families?
3. In what manner has your data given evidence of maintaining or improving student outcomes?
C. Practices:
1. How do you teach social/behavioral skills to students consistently and with fidelity (as constructed)?
2. How do you recognize students for using the expectations?
3. What are some of the practices your school has adopted that have had positive impacts on students?
D. Unique Features:
1. How has SW-PBS influenced the school’s culture and/or climate?
2. Detail any obstacles/hurdles related to implementing and sustaining SW-PBS in your school, and how these have been addressed by your team/school.
3. Present any other pertinent information you would like to share concerning the unique features of your school.
If you are implementing at Tier 2 and/or Tier 3, please submit an additional narrative of no more than 1,000 words to discuss the systems, data and practices unique to these tiers.