BY: FIRST NAME – LAST NAME

ENGLISH LANGUAGE ARTS MY STRENGTHS ARE: INPUT 1 INPUT 2 INPUT 3 INPUT 4 INPUT 5

ENGLISH LANGUAGE ARTS I NEED TO IMPROVE IN: INPUT 1 INPUT 2 INPUT 3 INPUT 4 INPUT 5

ENGLISH LANGUAGE ARTS I AM MISSING 0 ASSIGNMENTS I WILL TURN-IN MY MISSING ASSIGNMENTS BY:

ENGLISH LANGUAGE ARTS MY CURRENT GRADE IS: 100 THE GRADE I’D LIKE TO ACHIEVE: 100

ENGLISH LANGUAGE ARTS MY ACTION PLAN FOR ACHIEVING MY DESIRED GRADE/GOALS:

MATH MY STRENGTHS ARE: INPUT 1 INPUT 2 INPUT 3 INPUT 4 INPUT 5

MATH I NEED TO IMPROVE IN: INPUT 1 INPUT 2 INPUT 3 INPUT 4 INPUT 5

MATH I AM MISSING 0 ASSIGNMENTS I WILL TURN-IN MY MISSING ASSIGNMENTS BY:

MATH MY CURRENT GRADE IS: 100 THE GRADE I’D LIKE TO ACHIEVE: 100

MATH MY ACTION PLAN FOR ACHIEVING MY DESIRED GRADE/GOALS:

SCIENCE MY STRENGTHS ARE: INPUT 1 INPUT 2 INPUT 3 INPUT 4 INPUT 5

SCIENCE I NEED TO IMPROVE IN: INPUT 1 INPUT 2 INPUT 3 INPUT 4 INPUT 5

SCIENCE I AM MISSING 0 ASSIGNMENTS I WILL TURN-IN MY MISSING ASSIGNMENTS BY:

SCIENCE MY CURRENT GRADE IS: 100 THE GRADE I’D LIKE TO ACHIEVE: 100

SCIENCE MY ACTION PLAN FOR ACHIEVING MY DESIRED GRADE/GOALS:

SOCIAL STUDIES MY STRENGTHS ARE: INPUT 1 INPUT 2 INPUT 3 INPUT 4 INPUT 5

SOCIAL STUDIES I NEED TO IMPROVE IN: INPUT 1 INPUT 2 INPUT 3 INPUT 4 INPUT 5

SOCIAL STUDIES I AM MISSING 0 ASSIGNMENTS I WILL TURN-IN MY MISSING ASSIGNMENTS BY:

SOCIAL STUDIES MY CURRENT GRADE IS: 100 THE GRADE I’D LIKE TO ACHIEVE: 100

SOCIAL STUDIES MY ACTION PLAN FOR ACHIEVING MY DESIRED GRADE/GOALS:

CONNECTIONS INPUT 1 My 1 st CONNECTIONS is:My current grade is: 100

CONNECTIONS INPUT 1 INPUT 2 INPUT 3 INPUT 4 My goal for 1 st CONNECTIONS ( Sem 1 ) is: My action plan for achieving my goal(s) INPUT 1 INPUT 2 INPUT 3 INPUT 4

CONNECTIONS INPUT 1 My 2 nd CONNECTIONS is:My current grade is: 100

CONNECTIONS INPUT 1 INPUT 2 INPUT 3 INPUT 4 My goal for 2 ND CONNECTIONS ( Sem 1 ) is: My action plan for achieving my goal(s) INPUT 1 INPUT 2 INPUT 3 INPUT 4

BEHAVIOR THE NUMBER OF REFERRALS I’VE ACCUMULATED: 0 THE NUMBER OF TIME-OUTS I’VE ACCUMULATED: 0

ALWAYSMOST OF THE TIME SOMETIMESNOT TOO OFTEN NEVER I get along well with my peers: I respect the property of others I complete my assignments on time I come to class prepared I contribute to classroom discussions I behave appropriately on the bus ride to and from school:

BEHAVIOR MY ACTION PLAN FOR ACHIEVING MY BEHAVIOR GOALS:

ATTENDANCE MY ACTION PLAN FOR ACHIEVING MY ATTENDANCE GOALS: 1 I have missed ____ days of school. 2 The reasons why I have been absent are 3 When I am absent I will report to ___________ to get my missing assignments. 4 During the next semester I will not miss no more than ______ days