Nam e: D at e:
Being a Responsible Tr ibe Member
Student Behavior Ref lection Task f or Principal's Of f ice
1. The Tr ibes agreement(s) I broke was ___________________________________________
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2. I broke this agreement when I _________________________________________________
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3. I made this choice because ____________________________________________________
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4. After thinking about my choice , I believe _________________________________________
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5. It is impor tant to follow the Tr ibes agreements because ______________________________
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6. My Tr ibes community will know that I have lear ned from my mistakes, because, in future I will
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Tr ibes Agr eement s
Mut ual r espect ; At t ent ive list ening; Per sonal best
Right t o pass - r ight t o par t icipat e;
Appr eciat ions - no put downs
Student's signature ________________________________________ Date: ________________
Pr incipal's signature _______________________________________ Date: ________________
Parent's signature: ________________________________________ Date: _________________