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Student Behavior Reflection Form

The Student Behavior Reflection Sheet is a form for students to reflect on their violations of school policies. It requires students to describe their actions, explain the impact of their behavior, and outline steps for improvement. The form also includes spaces for signatures from the student, parent, and teacher to acknowledge the commitment to change.

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rolansmarulitua02
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6 views

Student Behavior Reflection Form

The Student Behavior Reflection Sheet is a form for students to reflect on their violations of school policies. It requires students to describe their actions, explain the impact of their behavior, and outline steps for improvement. The form also includes spaces for signatures from the student, parent, and teacher to acknowledge the commitment to change.

Uploaded by

rolansmarulitua02
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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STUDENT BEHAVIOR REFLECTION SHEET

Name
Grade & Class Homeroom Teacher
Type of Violation Date of Breach
Write 2-3 sentences about the specific thing/s that you did wrong or the wrong choices you made leading
to the violation of school policies.

Write 4-5 sentences stating the reason your behavior was inappropriate and unacceptable, and how it
affects you, others and the school.

Write specific steps to explain how you will change your behavior and make better choices to avoid doing
the same mistake.

I promise to change my behavior and follow the steps I have stated above to make better choices.
Student’s Signature
Date
Over Printed Name
Parent’s Signature
Date
Over Printed Name
Teacher’s Signature
Date
Over Printed Name

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