Student Behaviour Contract Form

The following is a sample behaviour contract form that could be given to students to ensure their responsibility in complying with classroom rules and routines.

I ___________________________________ agree to the following terms:

These are my goals:

⦁ ________________________________________________________________________
Threshold: _______________________________________________________________
⦁ ________________________________________________________________________
Threshold: _______________________________________________________________

 

These are my rewards/reinforcers if I meet my goals:

_____________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

 

These are my consequences if I do not meet my goals:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
My contract will be reviewed on _____________________________________________
Signatures

Student ____________________________________ Date _____________________________
Teacher ____________________________________ Date ____________________________

 

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