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De Smet Middle School Conference Reflection - (copy)

Tools

Name:

A red asterisk (*) indicates required questions.

Class:*

My grade average falls in the following range:*

A+ to A-

B+ to B-

C+ to C-

D+ to D-

Failing

Incomplete

This is what I did to earn this grade (in complete sentences).*

5 = ALWAYS, 4 = ALMOST ALWAYS, 3 = MOSTLY, 2 = SOMETIMES, 1= NOT OFTEN
I turn in assignments when they are due.*

1 2 3 4 5

5 = ALWAYS, 4 = ALMOST ALWAYS, 3 = MOSTLY, 2 = SOMETIMES, 1= NOT OFTEN
I complete assignments to my best ability.*

1 2 3 4 5

5 = ALWAYS, 4 = ALMOST ALWAYS, 3 = MOSTLY, 2 = SOMETIMES, 1= NOT OFTEN
I leave the classroom unnecessarily for drinks, restroom breaks, office visits, etc.*

1 2 3 4 5

5 = ALWAYS, 4 = ALMOST ALWAYS, 3 = MOSTLY, 2 = SOMETIMES, 1= NOT OFTEN
I talk during instruction, blurt, or disrupt others while working.*

1 2 3 4 5

5 = ALWAYS, 4 = ALMOST ALWAYS, 3 = MOSTLY, 2 = SOMETIMES, 1= NOT OFTEN
I treat teachers and students with the same respect I wish to be given.*

1 2 3 4 5

List two positive behaviors or performances in class, or what you like/enjoy about class:*

Choose a behavior goal for class next quarter:*

	I will refrain from talking unless called upon or instructed to talk.
	I will be organized and prepared for class.
	I will not leave the room unnecessarily for restroom, drink, or office visits.
	I will use classtime wisely to complete my work.
	I will not distract other students from their work.
	other ____________________________________________

Choose an academic goal for class next quarter:*

	I will turn in all assignments on their due date.
	I will complete assignments to my best ability.
	I will turn makeup work in by due date when absent.
	other _____________________________________________________

Write any concerns, comments about class here:*

Teacher Comments:*