Mandata Academy 2016-17, Online Collaborative Problem Solving
This form should take you no LESS than 30 minutes to complete. You should look at what time it is before you get started and what time it is when you are finished. If your responses do not seem to indicate a half hour's worth of thoughtful self-reflection, you will be asked to re-do the form or face more serious consequences. Your responses should be written in complete sentences that demonstrate careful adherence to English language conventions such as capitalization, spelling and punctuation; failure to do so could also result in the rejection of this form.

Before you fill out this form, please review the Grade 7 Mandata at the following link:
https://docs.google.com/a/bostonpublicschools.org/document/d/1VxFo2XTs007WNSseRPC_WCprqgOgAFqnucFwqmgKXYc/edit?usp=sharing

You should also review what your class stated as its most important values here:
https://drive.google.com/file/d/0BwvAVKaH8EM9bDNIbGRpUjVHaWM/view?usp=sharing

This form must be completed within 48 hours of your receipt of the Mandata Academy Ticket.
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LAST NAME *
What is your LAST name? Please type your LAST name.
FIRST NAME *
What is your FIRST name? Please type your FIRST name.
TEACHER *
Please choose the name of the teacher who assigned you this online problem solving form.
MANDATUM *
Which Mandatum did you violate?
MANDATUM DESCRIPTION *
In a word or phrase, explain the Mandatum you violated.
WHAT HAPPENED? *
 Explain what actions of yours led you to Mandata Academy today. What was happening around you leading up to this violation? Why did you violate this particular rule? What impact might your violation of this rule have had on others? Be specific.
VALUES *
What values did your actions NOT support (Respect, Responsibility, Care, Honesty, etc.)? Explain why this is a problem.
SOLUTIONS BRAINSTORM *
What could you have done differently (write down all ideas)? *This could be list, and does not have to be complete sentences.
ACTION PLAN *
 Now that you have had some time to reflect upon this particular rule, please explain your understanding of the rationale behind this rule. How do you plan on preventing yourself from violating this rule again? How might your teachers support you in this plan? Be specific.
ANYTHING ELSE?
Do you have anything else to share with your teachers regarding this problem?
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