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Student Behavior Agreement Template

This document outlines a behavior agreement between a student, their teacher(s), and parent(s). It includes a scoring system from 1-4 to assess the student's behavior and efforts to meet goals. Specific behavioral goals for the student are to be written in by the teacher and may include speaking respectfully, keeping hands to oneself, avoiding interrupting, and having a positive attitude. The student and teacher will both assess the student's progress, and goals may need to be modified based on the performance levels. Fifteen sample behavioral goals are provided.

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79 views2 pages

Student Behavior Agreement Template

This document outlines a behavior agreement between a student, their teacher(s), and parent(s). It includes a scoring system from 1-4 to assess the student's behavior and efforts to meet goals. Specific behavioral goals for the student are to be written in by the teacher and may include speaking respectfully, keeping hands to oneself, avoiding interrupting, and having a positive attitude. The student and teacher will both assess the student's progress, and goals may need to be modified based on the performance levels. Fifteen sample behavioral goals are provided.

Uploaded by

K
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Behavior Agreement

Student:
Teacher(s):
Parent(s): <insert parent(s) name here>
Date: It takes a village to raise a child, and the nam
<Date>

has agreed to make an effort to modify his/her behavior. will self-assess and teacher will assess using a Performanc

<edit for daily, weekly goals>
communication
 Urgent alerts as needed
Score 4 Outstanding effort with excellent success!
 Positive reinforcement
Score 3 Good effort and acceptable behavior. Yay!  Incentives
Score 2 Some effort with limited success. Keep trying!  Clear consequences

Score 1 Little or no effort during this period. Let’s talk. 


Specific goals and goal reassessment

Behavior Goals Student Assessment Teacher Assessment Notes (S or T)

Student will
<insert comment from page 2>

Student will
<insert comment from page 2>

Student will
<insert comment from page 2>

Student will
<insert comment from page 2>

Student will
<insert comment from page 2>

Based on the Performance Levels in the chart above for this reporting period, Behavior Goals do / do not need to be
________________________________________________
List of Behavior Goals to be Considered
(copy and paste into grid on page one five behavior goals)

Speak respectfully Keep hands to yourself Avoid interrupting teacher

Avoid interrupting students Pick-up after yourself Greet peers with a smile

Follow directions Change tasks quickly Have a positive attitude

Bring all materials to school Turn in homework on time Turn in classwork on time

Turn in projects on time Give best effort Be in the right place

Take time to consider actions before taking


Line actions
up immediately Use restroom during breaks

Avoid bullying other students Use kind words; Coexist with technology;

Accept failure/errors Ask for help if needed Listen carefully

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