JESU-MARIAE INTERNATIONAL SCHOOL, Inc.

23 MHC St., Better Living Subd., Paraaque City

Name: _____________________________ Class: _________________

Date: ________

TOPIC: Behavior Contract

OBJECTIVE: To write a behavior contract signed by student, parent, and teachers.
DIRECTION: Please complete the statements below.

1. The behavior I would most like to change is _______________________________________________

2. To change this behavior, I will __________________________________________________________

3. To help me, my teacher will ____________________________________________________________

4. To help me, my Parents / Family will _____________________________________________________

5. If I change this behavior, I will earn ______________________________________________________

Student: ____________________________________

Date: __________________

Parent: _____________________________________

Date: __________________

Teacher: ____________________________________

Date: __________________

Teacher: ____________________________________

Date: __________________

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Date: __________________

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Date: __________________

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Date: __________________

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Date: __________________