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This form provides a discipline record for a student, beginning with a verbal warning and leading to a referral. The goal is always improvement, so the form has fields for successive conferences with the student before a referral is written. If a referral must be written, then teachers can show administrators a record of what has been done at the classroom level.
The PDF download includes an example form to show how I use it.
Key words: discipline, behavior, restorative practice, justice, conference, referral, conversation