This simple form can be printed as needed to be used as a behavior modification tool.
The form can be filled in by students to get them thinking about what behaviors they have engaged in that are inappropriate. It also has a space for students to fill in alternate behaviors that are more appropriate to help get them on the right track.
This is a great form to use during Parent Conferences or Team Meetings. Teachers, counselors, administrators and parents can all use this form to help students think about their behavior and to teach students about consequences.