Freedom Preparatory Academy

High School
2016-2017

Student Name: A. M

Behavior Expectations:

1. I will show active engagement during class. (i,e, ask questions, provide
answers, participate in classroom discussion, complete my work, etc.)

2. I will appropriately express my emotions.

Privileges for meeting the conditions of the contract:

If I meet my behavior expectations, I will be able to:

- Have lunch with Mrs. Hodges-Johnson on Tuesdays
- Receive sherbert ice cream the first Friday of the month
- Do the school annucements once a week

Consequences/Restrictions for failing to meet the conditions of the

contract:

If I do NOT meet the behavior expectations, I will:

- Have to eat lunch in the library on Fridays
- Not participate with my grade in community circle

I understand that I must meet all Behavior Expectations listed above in order to
earn the outlined privileges week. Failure to meet the Behavior Expectations
listed above will result in my earning of both consequences/restrictions listed
above.

Student’s Signature Advisor’s Signature

Freedom Preparatory Academy

High School
2016-2017

Student Name: A. M
Teachers: Please complete the Daily Sheet by circle “Yes” or a “No” (comment
when
needed)

Engaged in class Expressed emotions Teacher

Initials
appropriately appropriately

Advisory Y N Y N

1st: Afr. Am. History  Y N Y N

2nd: English I Y N Y N

3rd: Biology  Y N Y N

Advisory  Y N Y N

Lunch Y N Y N

4th: Spanish  Y N Y N

5th: Geometry  Y N Y N

6th: PE Y N Y N

Advisory  Y N Y N

See Back for Comment Section

Engaged in class Expressed emotions

appropriately appropriately

Advisory
 Engaged in class Expressed emotions
appropriately appropriately

1st: Afr. Am.
History 

2nd: English I

3rd: Biology 

Advisory 

Lunch

4th: Spanish 

5th: Geometry 

6th: PE

Advisory 

Freedom Preparatory Academy

High School
2016-2017
Student Name: A.M

Teachers: Please keep track of this intervention by indicating if you saw the
student in the morning and afternoon for CICO.

Date Check In? Check-Out?

Monday: Y N Y N
Tuesday: Y N Y N
Wednesday: Y N Y N
Thursday:
Friday: Y N Y N

Monday: Y N Y N

Tuesday: Y N Y N
Wednesday: Y N Y N
Thursday:
Friday: Y N Y N

Monday: Y N Y N
Tuesday: Y N Y N
Wednesday: Y N Y N
Thursday:
Friday: Y N Y N

Monday: Y N Y N
Tuesday: Y N Y N
Wednesday: Y N Y N
Thursday:
Friday: Y N Y N