Behavior Report

Dear parent/guardian of _______________________,

You are receiving this letter because your student
________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
______________
I am asking that your student thoughtfully answer the questions below on a
separate sheet of paper. The purpose of this exercise is to encourage your student
to reflect on his/her behavior and think about steps that he/she might possibly take
to change in the future. I would encourage you to discuss this incident with your
student and help him/her answer the questions. In addition, please sign below to
show that you have received and read this letter.
If you have any questions, comments, or concerns, please feel free to contact me at
___________________________ or __ __ __ - __ __ __ - __ __ __ __.
Sincerely,
Anna Vallance

Questions to consider:
1. In what ways is your behavior positive in class?
2. In what ways is your behavior negative in class?
3. Why is it important ______________________________________________? Give at least one
real-life example of how this would apply to society.
4. List three steps you will take to improve your behavior in the future.

PARENT/GUARDIAN SIGNATURE: