Behavior Reflection Form.docx
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Republic of the Philippines Department of Education National Capital Region DIVISION OF CITY SCHOOLS-VALENZUELA
CARUHATAN NATIONAL HIGH SCHOOL
BEHAVIOR REFLECTION FORM Name: Grade and Section: 1. What was my behavior?
Date: Teacher: Mrs. Jonalyn C. Dela Cruz
2. What were the reasons for my behavior?
3. How did my behavior affect others?
4. What is my plan to improve my behavior?
5. Do I need to apologize to anyone? If so, to who and why?
___________________________ Signature over Printed Name of the Student
___________________________ Signature over Printed Name of the Parent
___________________________ Signature over Printed Name of the Teacher
CARUHATAN NATIONAL HIGH SCHOOL
BEHAVIOR REFLECTION FORM Name: Grade and Section: 1. What was my behavior?
Date: Teacher: Mrs. Jonalyn C. Dela Cruz
2. What were the reasons for my behavior?
3. How did my behavior affect others?
4. What is my plan to improve my behavior?
5. Do I need to apologize to anyone? If so, to who and why?
___________________________ Signature over Printed Name of the Student
___________________________ Signature over Printed Name of the Parent
___________________________ Signature over Printed Name of the Teacher
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