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North Branch High School Student Plan

Student:____________________________________
Date of write up:________________ Time:________________
Teacher:___________________________
1. What choice did you make that got you into trouble?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2. I have circled the B.R.O.N.C.O. expectation(s) that I have not followed:
Be respectful

Ready to learn

On task Nicer than necessary

On time

3. Who is responsible for my behavior? ______________________________________


4. What happens when I choose not to follow expectations?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
________________________________________________________________________________
5. My plan is:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_________________________________________________________________________________
6. Is there an apology in order? Yes or No (circle one)
________________________

To Whom?

Student Signature: _________________________

Date:______________________

SRC Coordinator: ___________________________

Date:______________________

Plan approved:____

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