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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___________

[INCREDIBLE ART DEPARTMENT]

 

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