Use this form to document undesired student behaviors and communicate with parents. Students fill out a self reflection and then it is sent home for parent signature.
Reflection Sheet- Student Questions:
1) What caused you to need time to reflect? CIRCLE ONE:
not being respectful off task
not following directions talking or being disruptive
not working well with others Other: _____________
2) What was the result of your behavior?
3) How will you behave more appropriately in the future?
4) Why is it important to behave appropriately?
Today your child was given the opportunity to make a better choice as well as time to reflect on his/her behavior in class. Unfortunately, this behavior continued and it became necessary to contact you. I have discussed your child’s behavior with him/her and we have talked about why this behavior is inappropriate at school. Please review this sheet with your child and ensure they understand how to make more positive choices so they will not be issued a school-wide Behavior Form in the future.
Thank you for your support.