Student Reflection Time - Action Plan
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2Student Reflection Time- Action Plan: Teacher’s Name
The questions on this sheet will help you think about what just happened in your classroom and what you can do to
avoid being sent to time out again. Please remember that if you continue your behavior more severe consequences
will follow.
Answer these questions honestly. False answers or putting the blame onto others will not be accepted.
Student name:________________________ Date_________Time:______ Referring teacher:___________________
1. Write a complete paragraph that states why you were sent out of class to the time-out area:
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2. Which classroom rule did you choose to break?
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3. Why did you continue with this behavior after you had been warned to stop? (Don’t tell me you weren’t warned
either)_________________________________________________________________________________________
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4. Explain why it is important for students to follow classroom rules and respect the
teacher:________________________________________________________________________________________
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continued…____________________________________________________________________________________
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