Please fill out the behavior log accurately and honestly. You will receive a copy of your responses.
If you choose not to take this seriously, we will have a longer conversation between us (student & teacher) and include a parent or an administrator if necessary.
This form template was created by Mari Venturino (@MsVenturino). Learn more at
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iPad-related (see question below)
Forgot class materials (notebook, pencil, pen)
Disrespectful to other students or adult
Disrespectful to class materials
Talking, calling out, or side conversations
If iPad related, what is the issue?
Forgot iPad at home
Not using iPad correctly in class
iPad not charged
iPad charger is broken
If necessary, describe what happened:
How is our classroom impacted by your decisions?
Remember, it's usually not just you who is impacted by your choices!
What do you need to do now to fix the situation?
How can you make this better? Do you need to apologize to someone(s)?
Anything else we need to know?
A copy of your responses will be emailed to the address you provided.
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