Walden Green Montessori
tuition-free • k-8 • public charter school
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Classrooms
April's Class (K/1st)
Junie's Class (K/1st)
Jessica's Class (2nd/3rd)
Michelle's Class (2nd/3rd)
Tanya's Class (4th/5th)
Christina's Class (4th/5th)
Capstone Class (6th-8th)
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WGM STUDENT BEHAVIOR REPORT
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Indicates required field
Student Name
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Grade
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Teacher
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Date
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Time
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Referring Adult(s)
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Observer(s)
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Witnessed by staff
Reported by students
Witnessed by staff and reported by students
Where did the behavior occur?
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Classroom
Hallway
Bathroom
Playground/Recess
Bus/Harbor Transit
Gym Class
Art Class
Music Class
Great Room/Library
Extended Day Club
Other
What was happening before the behavior?
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Transitioning
Ending an activity
Participating in a group
Asked to do something
Unknown at this point
Other
Level 1 Behavior
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unwanted physical contact, horseplay
repeated annoyance/distraction/disruption
name calling, teasing, rumors
rude/insensitive remarks
mean notes, playing a mean trick
ignoring, delayed response, not listening
eye-rolling, unkind/stubborn gestures
taunting, provoking, bragging
unnecessary whining/sulking/nagging
playing keep away, excluding others
Level 2 Behavior
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moderate physical contact (that could injure others)
throwing objects
inappropriate drawings or words
yelling, outbursts, screeching, threatening
active defiance, talking back
dishonesty, distorting the truth
cheating, plagiarism
carelessness with school property
misuse of materials or technology
disregarding “friends-only” rule at school
Level 3 Behavior
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severe physical contact (that injures others)
biting, stabbing with any object
retaliation for being reported
throwing objects with intent to hurt
stealing, destroying property, running away
indecent exposure
swearing (including nonverbal signals)
violent threats, purposeful intimidation
possession of weapons, explosives, drugs
harassment (racial/ethnic/sexual/religious)
Comments/Details
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physical contact: hitting, slapping, pushing, shoving, punching, tripping, pinching, poking, kicking, spitting, scratching, choking
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