Student’s Name: ________________________________________
1st Quarter Average: ____________
1st Semester Reflection
2nd Quarter Average:_____________
Block: ___________
1st Semester Average: _____________
Rewards for Last Semester Achievement (to be used during 3 rd Nine Weeks Only)
o Dropped Formative Grade
***Student Choice (with teacher approval)
o Trip to the Treat Box
***Extra TIME on an assignment
o 25 points Added to Summative Grade
*** Drop a Tardy
o 20 Minutes of Academic Time
*** Tech Break
Overall, I feel…about my actual Academic Achievement during 1st Semester. Circle the number best describes how you
feel.
+3
+2
+1
0
-1
-2
-3
Great!
Good
Pretty good
Ok
A little disappointed
Not so good
Bad
I feel this way because
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
My biggest achievement last semester was: _______________________________________________________________
My biggest struggle last semester was: ____________________________________________________________________
Actual Attendance: Absences: ______________
Tardies: ______________
Two things I know I was doing that were helping
me in school and progress towards my goal were
….
Two things I know that were getting in my way (obstacles)
of school and progress towards my goal were …
1.
1.
2.
2.
My 3rd Nine Weeks Expected Goal: ________________
Here are 3 things I am committed to doing to help me to continue to work towards my goal:
Action Step:
Supports Needed:
1.
2.
3.
Teacher Observations: I observed that the following were your strengths during last Semester:
Academics
o
o
o
o
o
o
Turning in assignments in a timely manner (within 2 class periods of original deadline)
Asking for and completing missed assignments
Coming to class prepared (i.e. charged laptop, notebook, writing utensils, binder etc.)
Completing in-class tasks
Completing out of class tasks
Attending Office Hours for tutoring or missing work
Teacher’s Signature: ______________________________ Student’s Signature: __________________________________
Student’s Name: ________________________________________
o
o
1st Semester Reflection
Block: ___________
Displaying academic responsibility
Being attentive and participating in class instruction
Behavior
o
o
o
o
o
Staying engaged during whole-class instruction
Staying on-task during individual work
High Attendance (less than 2 absences and/or tardies)
Displaying appropriate discipline
Engaging in Positive behavior with peers and teachers
Teacher Observations: I note that the following are your areas of improvements for 2nd semester:
Academics
o
o
o
o
o
o
o
o
Turning in assignments in a timely manner (within 2 class periods of original deadline) ______________________
Asking for and completing missed assignments_____________________________________________________
Coming to class prepared (i.e. charged laptop, notebook, writing utensils, binder etc.) ______________________
Completing in-class tasks _______________________________________________________________________
Completing out of class tasks____________________________________________________________________
Attending Office Hours for tutoring or missing work__________________________________________________
Displaying academic responsibility________________________________________________________________
Being attentive and participating in class instruction_________________________________________________
Behavior
o
o
o
o
o
Staying engaged during whole-class instruction_____________________________________________________
Staying on-task during individual work____________________________________________________________
High Attendance (less than 2 absences and/or tardies) _______________________________________________
Displaying appropriate discipline_________________________________________________________________
Engaging in Positive behavior with peers and teachers _______________________________________________
Academic Goal: _____________________________________________________________________________________________
____________________________________________________________________________________________________________
Behavior Goal: ______________________________________________________________________________________________
____________________________________________________________________________________________________________
Parent Conference Requested:
YES
NO
If goal is reached, you will have opportunity to have the following:
o
o
o
o
Dropped Formative Grade
Trip to the Treat Box
25 points Added to Summative Grade
20 Minutes of Academic Time
***Student Choice (with teacher approval)
***Extra TIME on an assignment
*** Drop a Tardy
*** Tech Break
Teacher’s Signature: ______________________________ Student’s Signature: __________________________________