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This application is for Illinois schools interested in being recognized for their self-assessment of their PBIS Implementation . For more information, visit: https://www.midwestpbis2.org/recognition
The required information on this form asks for basics about your school and district, and should take about 4 - 8 minutes to complete, if you have prepared your answers ahead of time. Remember, the optional fields will add time, so please plan ahead.

Please remember to also submit your TFI (Tiered Fidelity Inventory) at www.pbisapps.org in your schools account.
Need help? email us! eval@midwestpbis.org

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* 1. SCHOOL Name

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* 2. DISTRICT Name

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* 3. PRINCIPAL First Name

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* 4. PRINCIPAL Last Name

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* 5. PRINCIPAL Email

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