Behavior
Report in Visual Art
Student____________________________
Time of infraction: ___________
Date______________
Behavior
observed:
|
____
swearing or profane remarks
____ making threatening remarks
____ lying to teacher
____ fighting or bullying
____ excessive talking and/or excessive
disruptions
____ disrespect towards teacher (or talking back)
____ disrespect towards classmates
____
theft and/or possession of _______________
|
___vandalism
(to school or personal property)
___throwing things
___refusal to be on task/refusal to cooperate
___pushing/shoving
___leaving classroom without permission
___wandering around the classroom –off task
___misuse of school or personal property
___tardy to class ______________
|
More
details:______________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Consequences:
____ Minor misconduct
_____Office Referral
______ ISS Room -Dismiss at: _____
I
appreciate your support. Please call Middle School (phone ) for more information.
Discuss this with your child.
Teacher____________________________
date:_____
________________________________ date:____
(Parent or school personnel signature)
Note: 2 forms
fit on 8 ˝ x 11 paper. You could print several and make
a pad. Below is a form for elementary related arts.
Behavior
Report for Related Arts
Student_________________________________
date__________
Art
Computer
Library
Music
P.E.
Behavior
observed:
|
____
excessive talking and/or disruptions
____ disrespect towards teacher (or
talking back)
____ disrespect towards classmates
____
misuse of school or personal
property
____
wandering around the classroom
–off task
____
pushing/shoving
____
refusal to be on task/ to cooperate
|
____
vandalism (to school or personal property)
____ throwing things
____ theft
____ leaving classroom without permission
____ inappropriate language
____ lying to teacher
____ fighting or bullying
|
More
details:________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
I
appreciate your support in discussing this
inappropriate behavior with your student. Please
sign and return this form.
Teacher_________________________________________________________________
Parent______________________________________________________________date___________
|
|
