BY: FIRST NAME – LAST NAME

ENGLISH LANGUAGE ARTSMY STRENGTHS ARE:

• INPUT 1• INPUT 2• INPUT 3• INPUT 4• INPUT 5

ENGLISH LANGUAGE ARTSI NEED TO IMPROVE IN:

• INPUT 1• INPUT 2• INPUT 3• INPUT 4• INPUT 5

ENGLISH LANGUAGE ARTSI AM MISSING

0ASSIGNMENTS

I WILL TURN-IN MY MISSING

ASSIGNMENTS BY:

ENGLISH LANGUAGE ARTSMY CURRENT GRADE IS:

100THE GRADE I’D LIKE TO

ACHIEVE:

100

ENGLISH LANGUAGE ARTSMY ACTION PLAN FOR ACHIEVING MY DESIRED GRADE/GOALS:

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MATHMY STRENGTHS ARE:

• INPUT 1• INPUT 2• INPUT 3• INPUT 4• INPUT 5

MATH I NEED TO IMPROVE IN:

• INPUT 1• INPUT 2• INPUT 3• INPUT 4• INPUT 5

MATHI AM MISSING

0ASSIGNMENTS

I WILL TURN-IN MY MISSING

ASSIGNMENTS BY:

MATHMY CURRENT GRADE IS:

100THE GRADE I’D LIKE TO

ACHIEVE:

100

MATH MY ACTION PLAN FOR ACHIEVING MY DESIRED GRADE/GOALS:

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SCIENCEMY STRENGTHS ARE:

• INPUT 1• INPUT 2• INPUT 3• INPUT 4• INPUT 5

SCIENCE I NEED TO IMPROVE IN:

• INPUT 1• INPUT 2• INPUT 3• INPUT 4• INPUT 5

SCIENCEI AM MISSING

0ASSIGNMENTS

I WILL TURN-IN MY MISSING

ASSIGNMENTS BY:

SCIENCEMY CURRENT GRADE IS:

100THE GRADE I’D LIKE TO

ACHIEVE:

100

SCIENCE MY ACTION PLAN FOR ACHIEVING MY DESIRED GRADE/GOALS:

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SOCIAL STUDIESMY STRENGTHS ARE:

• INPUT 1• INPUT 2• INPUT 3• INPUT 4• INPUT 5

SOCIAL STUDIESI NEED TO IMPROVE IN:

• INPUT 1• INPUT 2• INPUT 3• INPUT 4• INPUT 5

SOCIAL STUDIES

I AM MISSING0

ASSIGNMENTS

I WILL TURN-IN MY MISSING

ASSIGNMENTS BY:

SOCIAL STUDIESMY CURRENT GRADE IS:

100THE GRADE I’D LIKE TO

ACHIEVE:

100

SOCIAL STUDIESMY ACTION PLAN FOR ACHIEVING MY DESIRED GRADE/GOALS:

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CONNECTIONS

• INPUT 1My 1st CONNECTIONS is: My current grade is:

100

CONNECTIONS

• INPUT 1• INPUT 2• INPUT 3• INPUT 4

My goal for 1st CONNECTIONS ( Sem 1 ) is:

My action plan for achieving my goal(s)

• INPUT 1• INPUT 2• INPUT 3• INPUT 4

CONNECTIONS

• INPUT 1My 2nd CONNECTIONS is: My current grade is:

100

CONNECTIONS

• INPUT 1• INPUT 2• INPUT 3• INPUT 4

My goal for 2ND CONNECTIONS ( Sem 1 ) is:

My action plan for achieving my goal(s)

• INPUT 1• INPUT 2• INPUT 3• INPUT 4

BEHAVIORTHE NUMBER OF REFERRALS I’VE ACCUMULATED:

0THE NUMBER OF TIME-

OUTS I’VE ACCUMULATED:

0

ALWAYS MOST OF THE TIME

SOMETIMES NOT TOO OFTEN

NEVER

I get along well with my peers:I respect the property of othersI complete my assignments on timeI come to class preparedI contribute to classroom discussionsI behave appropriately on the bus ride to and from school:

BEHAVIORMY ACTION PLAN FOR ACHIEVING MY BEHAVIOR GOALS:

1

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ATTENDANCEMY ACTION PLAN FOR ACHIEVING MY ATTENDANCE GOALS:

1 I have missed ____ days of school.

2 The reasons why I have been absent are

3 When I am absent I will report to ___________ to get my missing assignments.

4 During the next semester I will not miss no more than ______ days.

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