Daily Chart-pbis For 6 Periods
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PBIS Power of Choice Daily Point Sheet Hospital Schools Student’s Name: __________________________
Date___________________________
Period 1 Period 2 Period 3 Period 4 Period 5 Period 6
Behavioral Expectation
Legend: ►One (1) point per behavioral expectation ►Do not put “0” as a rating; include the behavior.
Teacher’s Comments
Subject Be Safe 1. I kept hands to myself 2. I stayed in supervised area 3. I accepted the differences of others. Daily Homework
Be Respectful 1. I followed directions. 2. I used appropriate language. 3. I interacted well with others. Be Responsible 1. I was prepared. 2. I started on time. 3. I stayed on task. Transition
Total Teacher’s Signature:
________________________
Agency Staff:
________________________
= Copyright © 2007 by Hospital Schools, NYCDOE
Date___________________________
Period 1 Period 2 Period 3 Period 4 Period 5 Period 6
Behavioral Expectation
Legend: ►One (1) point per behavioral expectation ►Do not put “0” as a rating; include the behavior.
Teacher’s Comments
Subject Be Safe 1. I kept hands to myself 2. I stayed in supervised area 3. I accepted the differences of others. Daily Homework
Be Respectful 1. I followed directions. 2. I used appropriate language. 3. I interacted well with others. Be Responsible 1. I was prepared. 2. I started on time. 3. I stayed on task. Transition
Total Teacher’s Signature:
________________________
Agency Staff:
________________________
= Copyright © 2007 by Hospital Schools, NYCDOE
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