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Behavioral Reflection Form Name: _____________________________ Bk #: _____________

Date: ___________

Answer the following question using complete sentences and correct grammar. Failure to complete this form will result in a second detention or a school-wide detention. 1. Why are you in detention? What rule did you break? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ ____ 2. Where do you see yourself in 10 years? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ ____ 3. What will you do to be a better student in the future? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ ____ 4. What will you do to prevent having detention again? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________


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Behavioral Reflection Form