Behavior Plan Template

Behavior Plan
Date
MonthDayYear
Date
Name of Child
First NameLast Name
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Gender
Grade/Year Level & Section
Name of Class Adviser / School Representative
First NameLast Name
Name of School
Contract Effective From
MonthDayYear
Date
Contract Effective Until
MonthDayYear
Date

Parental Information
Name of Parent/Guardian
First NameLast Name
Phone Number
Area CodePhone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Name of Parent 2 /Guardian 2
First NameLast Name
Phone Number
Area CodePhone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code

Agreement
This contract is intended for the parties to set expectactions to students for compliance in the behavioral standard as agreed upon by the parties (the students, parents/guardians, and school adviser).
The student shall comply to the following obligations:
Treat everyone with respect especially schoolmates and the members of the school facultyRefrain from using any inappropriate languageRefrain from any form of cheatingRefrain from doing any disruptive or distracting activitiesConform and abide to the school's standard rules and regulationsShall always come to school on timeShall not commit unreasonable absencesShall participate in school's extra curricular activitiesOther
By signing this document, the parties agree to abide by all the terms and obligations required and failure of such shall be metted out with appropriate disciplinary action.
Child/Student's Signature
Clear
Date
MonthDayYear
Date
Parent's Signature
Clear
Date
MonthDayYear
Date
Parent's 2 Signature
Clear
Date
MonthDayYear
Date
School Representative's Signature
Clear
Date
MonthDayYear
Date
Should be Empty: