Minor School Behavior Incident Report Template

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Minor Behavior Incident
Minor Behavior Incident
Presented to: _________________Room_____
Presented to: _________________Room_____
Location
Violation
Location
Violation
Classroom
Be there & prepared
Classroom
Be there & prepared
Cafeteria
Live Responsibly
Cafeteria
Live Responsibly
Hallway
Uphold Integrity
Hallway
Uphold Integrity
Bus
Earn & give respect
Bus
Earn & give respect
Other
Other
Steps
Specific Behavior
Steps
Specific Behavior
1. Name behavior and
1. Name behavior and
expectation
expectation
2. State rule and
2. State rule and
expected behavior
expected behavior
3.Give positive
3.Give positive
verbal/social
verbal/social
acknowledgment
acknowledgment
Consequence
Consequence
4. Give slip to student
4. Give slip to student
Parent Contact
Parent Contact
5. File
5. File
Detention
Detention
Other
Other
Given by: _______________________________
Given by: _______________________________
Date:__________ Time: _________________
Date:__________ Time: _________________
Minor Behavior Incident
Minor Behavior Incident
Presented to: _________________Room_____
Presented to: _________________Room_____
Location
Violation
Location
Violation
Classroom
Be there & prepared
Classroom
Be there & prepared
Cafeteria
Live Responsibly
Cafeteria
Live Responsibly
Hallway
Uphold Integrity
Hallway
Uphold Integrity
Bus
Earn & give respect
Bus
Earn & give respect
Other
Other
Steps
Specific Behavior
Steps
Specific Behavior
1. Name behavior and
1. Name behavior and
expectation
expectation
2. State rule and
2. State rule and
expected behavior
expected behavior
3.Give positive
3.Give positive
verbal/social
verbal/social
acknowledgment
acknowledgment
Consequence
Consequence
4. Give slip to student
4. Give slip to student
Parent Contact
Parent Contact
5. File
5. File
Detention
Detention
Other
Other
Given by: _______________________________
Given by: _______________________________
Date:__________ Time: _________________
Date:__________ Time: _________________

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