7th Grade Science
Snowden School
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Behavior Form
Please fill out this form completely and honestly. The more you think about your answers, the less severe the consequences may become.
*What is your name?
*What is today's date?
*Which rule did you break?
-Select a choice-
Rule #1: Be Respectful of Others
Rule #2: Be Prepared to Learn
Rule #3: Be Scrupulous on Assignments
*Why did you break this rule?
*Who did you affect by breaking this rule? (Check all that apply.)
Myself
My Classmates
My Teacher
My Parent(s)
*How did your action(s) affect these people and why is that wrong?
*What should you have done instead of breaking this rule?
*What should happen if you break this rule again?
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