1. Think and Write Form
Used to reflect on Quality Student Behavior
Student Name: __________________________ Date: _____________
1. Was I following the class mission and vision and being responsible and respons-able
to the class? ____________
2. What did I do that was not following the class mission and vision?
_______________________________________________________________________
_
_______________________________________________________________________
_
3. How can I demonstrate quality student behavior …
4. Class Mission and Vision:
Teacher: Please list behavior infraction (definitions on back) that was demonstrated by
students: _________________________________
___________________________ _____________________________
Teacher Signature Student Signature
_________________________

2. Parent/Guardian
Signature
Think and Write Behavior Definitions
Minor Horseplay
• Action that begins as fun that could escalate to
disruptive or harmful behaviors
Fighting
• Verbal and/or physical aggressive actions among
two or more students
Bullying
• Trying to exert power over another through
repeated verbal, physical, and/or exclusionary
actions
Inappropriate Language
• Words used which are generally not permitted
because of the potential or intention to offend
Disrespect
• Inappropriate and/or defiant behavior as
perceived by the person receiving it
Physically hurting another person
• Actions towards another that potentially could
cause physical harm
Talking in Class and Hallway
• Talking when the expectation is to remain quiet
Disruptive
• Any behavior by a student that impedes learning
and/or distracts from instruction