Mr. Johnson's Behavioral Management Plan: Strengths
Mr. Johnson's Behavioral Management Plan: Strengths
Strengths:
Problematic Behaviors:
Duration of Intervention:
Grade Level:
I, the undersigned student, understand and agree to all the above mentioned behavioral problems and
obligations and thus verify that I have read and understood the above information as it was explained in
the handout and discussed in the meeting.
Student Signature
Student Name (Please print) _____________________________________ Date __________________
Student Signature
_________________________________________________________________________
Telephone Number ______________________ Email _______________________________________
Parent/Guardian Signature:
This verifies that I have read and discussed the above information with my son or daughter as explained
in the teacher/parent behavioral conference.
Parent/Guardian Name (Please print) ______________________________Date__________________
Parent/Guardian Signature
__________________________________________________________________
Telephone Number ______________________ Email _______________________________________