Get the free behavior referral form

Click here to Attach Form to E-mail Prentice Middle School Behavior Referral Grades 5-7 Student Name: Teacher: Level of Behavior (Please check one) 1 2 3 Behavior (Please check one) ?tardiness ?dress

How to fill out behavior referral form

How to fill out behavior referral form:

1. Start by gathering all the necessary information, such as the date, the person or student's name, and any relevant identification details.
2. Clearly state the reason for the behavior referral, providing specific details about the incident or behavior that prompted the form.
3. Describe any observations or evidence that support the referral, including any witnesses or documentation.
4. If applicable, include any previous interventions or actions taken to address the behavior and their effectiveness.
5. Indicate the desired outcomes or consequences for the behavior, such as counseling, disciplinary actions, or further intervention.
6. Ensure the form is signed and dated by the person making the referral.

Who needs behavior referral form:

1. Teachers or school staff who observe problematic behavior or incidents involving students may need to fill out a behavior referral form.
2. Parents or legal guardians may also be required to complete a behavior referral form if they notice concerning behavior in their child and wish to address it within the school or educational setting.
3. In some cases, students themselves may be asked to fill out a behavior referral form if they witness or are involved in an incident that requires reporting.

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What is behavior referral form?

A behavior referral form is a document used by educators and school staff to report and document incidents of student behavior that require intervention or disciplinary action.

Who is required to file behavior referral form?

Teachers, school administrators, and other staff members who observe or are informed of inappropriate student behavior are typically required to file a behavior referral form.

How to fill out behavior referral form?

To fill out a behavior referral form, one should include the student's name, date, time, location of the incident, description of the behavior, any prior interventions attempted, and the names of witnesses, if applicable.

What is the purpose of behavior referral form?

The purpose of the behavior referral form is to formally document student behavior incidents, provide a record for accountability, and ensure that appropriate follow-up actions are taken by school administration.

What information must be reported on behavior referral form?

Information that must be reported on a behavior referral form includes the student's identifying information, a detailed description of the behavior, the context of the incident, any interventions previously attempted, and the names of any staff members or witnesses involved.