Arctic 7 Behavior Google Form 2019-20
PACK Behavior Reflection Form
Name (Last, First)
Passing Period (in between classes)
Which PACK behaviors were not followed?
Prepared - walking into classroom appropriately
Prepared - on time for class
Actively Engaged - on task behavior
Cooperative - not being disruptive to others/learning environment
Cooperative - follow teacher directions
Kind and Safe - being respectful of other people/property
Kind and Safe - being respectful of school property
Kind and Safe - behavior is respectful to staff and/or classmates
In your own words, describe your behavior that led to this action.
Describe how your behavior affected the learning environment of yourself and other students.
Explain the actions you will take to correct this behavior in the future.
(Is there anything the teacher can do to help you in this area?)
Explain one instance in which you have demonstrated that particular PACK behavior well in the past seven days.
Send me a copy of my responses.
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