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Positive Behavior Support Plan-for student

Teacher-Semeniuk/E Block

Monday Tuesday Wednesday Thursday Friday

Turned in work Turned in work Turned in work Turned in work Turned in work

Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA

Initial- Initial- Initial- Initial- Initial-

On-task during On-task during On-task during On-task during On-task during
class (2 or less class (2 or less class (2 or less class (2 or less class (2 or less
prompts) prompts) prompts) prompts) prompts)

Yes No Yes No Yes No Yes No Yes No

Teacher- Russ/Math

Monday Tuesday Wednesday Thursday Friday

Turned in work Turned in work Turned in work Turned in work Turned in work

Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA

Initial- Initial- Initial- Initial- Initial-

On-task during On-task during On-task during On-task during On-task during
class (2 or less class (2 or less class (2 or less class (2 or less class (2 or less
prompts) prompts) prompts) prompts) prompts)
Yes No Yes No Yes No Yes No Yes No

Teacher- Russ/ELA

Monday Tuesday Wednesday Thursday Friday

Turned in work Turned in work Turned in work Turned in work Turned in work

Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA

Initial- Initial- Initial- Initial- Initial-

On-task during On-task during On-task during On-task during On-task during
class (2 or less class (2 or less class (2 or less class (2 or less class (2 or less
prompts) prompts) prompts) prompts) prompts)

Yes No Yes No Yes No Yes No Yes No

Kiser/History

Monday Tuesday Wednesday Thursday Friday

Turned in work Turned in work Turned in work Turned in work Turned in work

Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA

Initial- Initial- Initial- Initial- Initial-

On-task during On-task during On-task during On-task during On-task during
class (2 or less class (2 or less class (2 or less class (2 or less class (2 or less
prompts) prompts) prompts) prompts) prompts)
Yes No Yes No Yes No Yes No Yes No

Teacher-Tomlin/PE

Monday Tuesday Wednesday Thursday Friday

Turned in work Turned in work Turned in work Turned in work Turned in work

Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA

Initial- Initial- Initial- Initial- Initial-

On-task during On-task during On-task during On-task during On-task during
class (2 or less class (2 or less class (2 or less class (2 or less class (2 or less
prompts) prompts) prompts) prompts) prompts)

Yes No Yes No Yes No Yes No Yes No

Teacher- Russ/Science

Monday Tuesday Wednesday Thursday Friday

Turned in work Turned in work Turned in work Turned in work Turned in work

Yes No NA Yes No NA Yes No NA Yes No NA Yes No NA

Initial- Initial- Initial- Initial- Initial-

On-task during On-task during On-task during On-task during On-task during
class (2 or less class (2 or less class (2 or less class (2 or less class (2 or less
prompts) prompts) prompts) prompts) prompts)
Yes No Yes No Yes No Yes No Yes No

Total Points- Total Points- Total Points- Total Points- Total Points-

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