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2019 Exemplar PBIS Application - Noncohort

Application for PBIS Sustaining Exemplar Schools Recognition- Noncohort

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Thank you for applying to become a PBIS Sustaining Exemplar School. 
This application is for individual school recognition for those that did not go through two year cohort training with the state or regional implementation projects.
The eligibility requirements for this application include:
  • Has had staff or a team of staff trained on school-wide positive behavioral interventions and supports (SW-PBIS)
  • Has three years of trend data on fidelity and have demonstrated fidelity of implementation of SW-PBIS as measured by the School-wide Evaluation Tool (SET), the Benchmarks of Quality (BoQ) or the Tiered Fidelity Inventory (TFI) with the most recent measurement within the last 12 months.
    • Overall SET score of 80 points or above
    • Overall BoQ score of 70 points or above
    • Overall TFI score of 70 points or above

The application is broken into parts:
  1. Your information
  2. PBIS Training
  3. Leadership
  4. Collection and use of data in action planning
  5. Other Work/Outcomes
  6. Sustainability Practices
  7. Giving Back

You can preview the entire application to prepare for completing it with your team at

Please submit your application by March 29, 2019

Questions about your application can also be sent to us at