Student Name ___________________

Daily Checklist Subject Reading: Activity/Supplies

Date ___________
Completed Yes No

Writing

Reading Notebook Reading Book Reading Log Reading Response Bk Writing Utensil Writing Notebook Writing Paper Writing Utensil Writing Binder Word Study Book Writing Utensil Math Notebook Math Journal Math Binder Writing Utensil Binder Writing Utensil Handout(s)

Word Study

Math

Social Studies or Science

Student _______________ Teacher _______________

Date ____________ Class ____________

BEHAVIOR REPORT CARD Directions: Review each of the Behavior Report Card items below. For each item, rate the degree to which you showed the behavior or met the behavior goal. Give an overview of how you feel about what you did today. Goal:

I focused my attention on teacher instructions, classroom lessons, and assigned work.

Accomplished Somewhat Accomplished Not Accomplished

Evaluation:

I did/did not accomplish my goal today because: ______________________________________________________ ______________________________________________________ ______________________________________________________

Reward Agreement Week of __________________ I, ___________________ agree (on a daily basis) that should I not physically touch students inappropriately (not even in playing) or call them inappropriate name (not even in playing), that I will receive 15 minutes of computer time at the end of each day. Student Signature Teacher Signature

I, ___________________ agree (on a daily basis) that should I complete my daily checklist work and my behavior report card contract appropriately, I will receive a _______________________ each day. Student Signature Teacher Signature