Pioneer GRIT Positive Referral

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Teachers and Staff are encouraged to fill out a Positive Referral that is sent home to parents about the good work students are doing in class as well as improved attendance, class work, attitude, or behavior. This is considered a Tier 1 Intervention to be used for as many students as possible to encourage continuing positive behavior.

Student Name *

Freddy Zarco

Student ID Number

Grade *

Referred By *

Teacher/Staff Member Name

Date *

YYYY

Reason(s) *

Check all that apply

Improving grades

Improving effort

Improving behavior

Doing his/her best

Coming for extra help

Excellent grades

Consistent effort

Positive behavior

Excellent attitude

Positive participation

Responsible/Helpful

Improving attendance/tardies

Excellent attendance

Positive role model

Required

Other Reason(s)

Describe a reason not listed above for which this student is being recognized.

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