Teacher: Mr. Steel


I. Student Fills these sections:

Name of Student:







How would Mr. Steel describe the incident that sent you to the office?








What portions of the student contract that you signed with Mr. Steel have you violated?








Identify the character traits that you could have exhibited to avoid this incident.








What actions will it take to convince Mr. Steel that you are abiding by the contract that all students in Mr. Steel's class have signed?








II. Section completed by Mr. Steel

Teacher's account:












Parent involvement: Type of contact (note, phone, email, interview, parental response)