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H.U.G.

Name:
_____________

Point value:

3= (0 reminders) GREAT

Hello, Understand, Good


Day

Student signature:

JOB!

2= (1-2 reminders) needing


some help

1= (3-4 reminders) Think


about your goals-You can do
it!

_______________

Date: ________
3

Goals

0= (4 or more reminders)
Re-focus-you have time to do!

8:559:30

9:3010:00

10:0010:30

10:3011:00

11:0011:30

11:3012:00

12:0012:30

12:301:00

1:001:30

1:302:15

2:152:45

Lunch

Recess

Recess

0
3

0
3

Staff member
initials

Be Kind:
Using kind
words and kind
actions when
speaking to
adults or
students.
Be Respectful:
On task during
instructional
time. Not
disrupting
others.

Check-In: Yes or No

Points Possible: _____

Check-Out: Yes or No
@2:45

Points Received: _____

% of points: _____
Goal Met? Yes or No
______________________________________________
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3
2
1
0

Parent Signature: ____________________________


Comments:
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