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
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 1 Occurrence (# of offenses, year-to-date)
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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 2 Occurrence (# of offenses, year-to-date)
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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)
Level 3 Occurrence (# of offenses, year-to-date)
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Comments/Details
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*physical contact: hitting, slapping, pushing, shoving, punching, tripping, pinching, poking, kicking, spitting, scratching, choking
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