BEHAVIORAL REFLECTION SHEET (AFTER SCHOOL)
RESTRAINT • RESPONSIBILITY • INTEGRITY • CARING • HONESTY
Name:
Grade:
Date:
Have you had an after-school detention previously
this year? If so, was it for the same reason as today?
If this is not your first after-school detention how
many have you had this year?
Why are you here today? (List all details including why you think your behavior occurred)
Dean Comments
What impact do you think your actions had on each of the individuals/groups below? (If the
person/group does not apply to your situation, you can write N/A)
Yourself
Teacher(s) / Other Staff Member(s)
Your classmates
What do you think needs to happen in order to avoid this behavior in the future?
Please wait silently to be called up by a dean. You can complete classwork/homework as you wait.
***** ***** ***** ***** ***** FOR DEAN USE ONLY ***** ***** ***** ***** *****
Behavioral Check-In
Number of negative write-ups this student received this week:
Is there a pattern in the write-ups that this student received this week? Does today’s behavior align
with this pattern?
What action steps will be taken to avoid this behavior?
What next steps will occur should this behavior continue?
How many classes is this student
currently failing? Which ones?
• Parent Contact /
Parent Meeting
Scheduled
Academic Check-In
Is the behavior that this student is displaying having an
effect on academics?
Next Steps
• Teacher Contact
• Counselor Referral
• Follow-up
Restoration and/or
Dean Meeting