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Being a Good Role Model Checklist Parent: ___Date: ___/___/___Child: ___Observer: ___ (P R)Setting/ Activity: ___Condition: BI+ Completed CorrectlyTrtmtTime:___ Followup Completed incorrectly or not
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Identify your values and traits that you admire in others.
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Reflect on your own values and traits that you want to showcase as a role model.
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Set goals for yourself that align with your values and traits.
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Be consistent in your actions and behaviors to serve as a positive example to others.
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Seek feedback from trusted individuals to help you improve and grow as a role model.

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A role model is someone who serves as an example, whose behavior is emulated by others.
Individuals or organizations who want to establish themselves as a role model for others are required to file a role model form.
To fill out a role model form, individuals or organizations should provide information about their achievements, values, and actions that make them suitable role models.
The purpose of a role model form is to demonstrate why an individual or organization should be seen as a positive example for others to follow.
Information such as accomplishments, behavior, and values that make the individual or organization a good role model must be reported on the form.
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