Behavior Log
Student Information
First Name *
Your answer
Last Name *
Your answer
Student ID *
Your answer
Class Period *
Incident Information
Incident *
Required
If iPad related, what is the issue?
What is your consequence? *
You are responsible for following up with your consequence.
If necessary, describe what happened:
Your answer
Reflection
How is our classroom impacted by your decisions? *
Remember, it's usually not just you who is impacted by your choices!
Your answer
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)?
Your answer
Anything else we need to know?
Your answer
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