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School Name

                       Intervention Description
      Tier Four
    Intervention
     Tier Three
    Intervention
      Tier Two
                                 Intervention Name
    Intervention


Focus Area



 Materials
                   ‱
 Needed




Description 1.




Additional
           ‱
  Notes



Copyright Jigsaw Learning 2012                    Intervention Description Template

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Intervention Description Template

  • 1. School Name Intervention Description Tier Four Intervention Tier Three Intervention Tier Two Intervention Name Intervention Focus Area Materials ‱ Needed Description 1. Additional ‱ Notes Copyright Jigsaw Learning 2012 Intervention Description Template