PBIS Shout-Outs
Lexington Local Schools Student and Staff Shout-Outs
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School/Building *
School/Building of the individual receiving the Shout-Out
Student or Staff Name *
Name of the individual receiving the Shout-Out
Homeroom Teacher
Homeroom Teacher of the individual receiving the Shout-Out
If unknown or not applicable, please leave blank
Date *
Today's Date/Date of Shout-Out
MM
/
DD
/
YYYY
Grade Level
 *
Grade of the individual receiving the Shout-Out
Appropriate Big Idea
 *
Select the Big Idea that is represented by the Shout-Out
Describe why the Shout-Out was EARNED
 *
Explain why you are giving this Shout-Out
Shout-Out From *
Your name here
Be Respectful. Be Responsible. Be Ready.
A COPY OF THIS SHOUT-OUT WILL BE SENT TO THE SELECTED BUILDING'S ADMINISTRATION.
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