Hoffman Behavior Reflection 2018-19
Please use this form for Level 2 and Level 3 behaviors.

If a student is an immediate danger to self or others, please press the office call button and ask for the CPI team.

For Level 3 behaviors, at the time of the behavior, please send the student to the office and submit this form online.

Student's First Name *
Your answer
Student's Last Name *
Your answer
Grade *
Classroom Teacher *
Teacher Assigning Reflection *
Please explain the problem without blame.
Your answer
How could the situation have been handled more positively?
Your answer
Select a Behavior: *
Staff Comments:
Your answer
For Principal Only: Action Taken
For Principal Only: Principal Comments:
Your answer
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