BEHAVIOR PLAN Louisville Middle School Student Name: ____________________________________

Initial observation date: _________ Class: _____________________ Contact info: ________________

Parent /Guardian: _________________________________ Step 1. Identify all of the following that apply Is inattentive Reads books/ other school coursework Appears tired / wants to sleep Socializes too much in class Talks / disrupts class often Displays immature behavior Foul / abusive / threatening language Disrespectful to staff / others Aggravates / taunts other students / fights Step 2. Discuss observations with student.

Cued multiple times to change behavior Insubordination /refuses to follow direction Displays unsafe behavior to self / others Is not careful / safe during labs Poor attitude towards learning Does not use class time effectively Fails to participate in class Puts forth minimal effort Other:

Step 3. Student and teacher discuss the following interventions to improve behavior. Check and date all that apply. Date each intervention when initiated with student. Date Teacher will give praise and encouragement for improvement and positive behaviors to _____ student. _____ Teacher and student identify behavior & discuss possible ways to help improve behavior. __________________________________________________________________________ ___________________________________________________________________________ Teacher assesses if students basic needs are being met in a confidential manner. Teacher will report any necessary findings to counselor. ____________________________________ Teacher and student discuss expected behaviors for classroom & review student handbook. Referral to counselor due to the following observations: ___________________________________________________________________________ After two attempts if verbal redirection is still ineffective, teacher and student will have one on one conference in hall to attempt to have student regroup or change behavior. Parent will be contacted regarding outcome of one on one conference. ___________________________________________________________________________ When student is unable to change behavior (list) and continues to disrupt learning for self / and/or others then a detention will be assigned. Teacher will contact home. __________________________________________________________________________ Student will be referred to principal for ongoing behavior issue after contact home and detention has been served. ___________________________________________________ Teacher will attempt to redirect behavior after two attempts. If behavior continues, student will be removed from class for a specific period of time to reflect on behavior. Student will

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return to class after period of reflection and will share thoughts of reflection with teacher upon returning to class. ____________________________________________________________ _____ Student will be moved to a new seat in the classroom after being cued twice regarding a behavior. Teacher will inform student if this is just for the class period or for all future classes. Teacher will consult principal and / or counselor for behavioral observation of student in class. Teacher will consult special education personnel regarding behavioral strategies / assessments. Teacher will initiate Academic Performance plan for lack of adequate academic progress. Student will receive additional free time, as a reward, when assignments have been completed / student demonstrates positive behavior. __________________________________________________________________________

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Comments / Additional Information:

Step 4. Student is aware observations and interventions plan as stated

Student signature

Teacher signature

Date

Step 5. Parent / guardian is made aware of observations and intervention plan. Date / Time Contact Person Method

Step 6. Counselor / Administrator is notified by e-mail of Behavior Issue Plan Initiated Date / Time Principal Counselor