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This document is a referral form used by teachers and staff at the Chicago Military Academy to report student behavior issues. It includes sections for student information, reasons for referral, current interventions, and communication with parents or guardians. The form aims to promote positive behavior and manage disciplinary actions effectively.
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How to fill out behavior referral report

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How to fill out behavior referral report

01
Start by filling in the date of the incident at the top of the report.
02
Enter the names of the students involved, including the referring staff member.
03
Describe the behavior that prompted the referral in detail, focusing on facts.
04
Note the time and location where the behavior occurred.
05
Identify any witnesses to the incident.
06
Include any previous behavior incidents, if applicable.
07
Outline the actions taken prior to the referral to address the behavior.
08
Provide recommendations for follow-up actions or interventions.
09
Sign and date the report to verify its accuracy.

Who needs behavior referral report?

01
Teachers who are documenting student behavior incidents.
02
School administrators who review behavior incidents and make decisions on interventions.
03
Counselors who may follow up with students involved.
04
Parents who need to be informed about their child's behavior and any outcomes from the referral.
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A behavior referral report is a formal document used by schools and educational institutions to record and address student behavior issues that require intervention or disciplinary action.
Typically, teachers, staff members, or administrators who witness or are informed about instances of inappropriate behavior are required to file a behavior referral report.
To fill out a behavior referral report, one must provide details such as the student's name, the date and time of the incident, a description of the behavior, any witnesses present, and the action taken or recommendations for follow-up.
The purpose of a behavior referral report is to document incidents of misconduct, facilitate communication among staff, track behavioral patterns, and ensure that appropriate interventions are provided to the student.
Information that must be reported on a behavior referral report includes the student's name, grade, date and time of the incident, description of the behavior, names of witnesses, actions taken, and any additional comments or recommendations.
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