Think and Write FormUsed to reflect on Quality Student Behavior

Student Name: __________________________ Date: _____________

1. Was I following the class mission and vision and being responsible and respons-able to the class? ____________

2. What did I do that was not following the class mission and vision?

________________________________________________________________________

________________________________________________________________________

3. How can I demonstrate quality student behavior …

4. Class Mission and Vision:

Teacher: Please list behavior infraction (definitions on back) that was demonstrated by students: _________________________________

___________________________ _____________________________Teacher Signature Student Signature

_________________________

Parent/Guardian Signature

Think and Write Behavior Definitions

Minor Horseplay • Action that begins as fun that could escalate to disruptive or harmful behaviors

Fighting • Verbal and/or physical aggressive actions among two or more students

Bullying • Trying to exert power over another through repeated verbal, physical, and/or exclusionary actions

Inappropriate Language • Words used which are generally not permitted because of the potential or intention to offend

Disrespect • Inappropriate and/or defiant behavior as perceived by the person receiving it

Physically hurting another person • Actions towards another that potentially could cause physical harm

Talking in Class and Hallway • Talking when the expectation is to remain quiet

Disruptive • Any behavior by a student that impedes learning and/or distracts from instruction