1. BY: FIRST NAME – LAST NAME

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

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

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

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

6. ENGLISH LANGUAGE ARTS MY ACTION PLAN FOR ACHIEVING MY DESIRED GRADE/GOALS: 1 2 3 4 5 6 7

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

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

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

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

11. MATH MY ACTION PLAN FOR ACHIEVING MY DESIRED GRADE/GOALS: 1 2 3 4 5 6 7

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

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

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

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

16. SCIENCE MY ACTION PLAN FOR ACHIEVING MY DESIRED GRADE/GOALS: 1 2 3 4 5 6 7

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

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

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

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

21. SOCIAL STUDIES MY ACTION PLAN FOR ACHIEVING MY DESIRED GRADE/GOALS: 1 2 3 4 5 6 7

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

23. 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

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

25. 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

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

27. 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:

28. BEHAVIOR MY ACTION PLAN FOR ACHIEVING MY BEHAVIOR GOALS: 1 2 3 4 5 6 7

29. 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. 5 6 7