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Behavior

Reflection
Name _____________________________________

Date ________________

Please write why you are having to reflect on your behavior. Be specific.

What is your plan so this will not happen again?

Do you need to apologize to anyone for your behavior? If so, to whom and for what?

Please list 5 positive things about yourself and how they can help you make better
choices in the future.

__________________________________
Your Signature

__________________________________
Teacher Signature

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