Secondary Discipline Referral Form (PDF) – A sample form, adapted from CC! Coalition samples, for secondary schools. Provides space for student reflection on the decision that resulted in the Pillar violation.
Elementary Discipline Referral Form (PDF) – A simple form, adapted from CC! Coaliton samples, for elementary schools clearly highlighting what behaviors are unacceptable under each of the Six Pillars of Character.
Discipline Referral Form (PDF) – Used when students are referred to the principal’s office as a last measure for behavior infractions. The events leading up to the referral are explained, interventions taken by the teacher prior to the referral are checked, and space is provided for the student’s and parent’s signatures to ensure the reason for action is understood.
Discipline Letter Home (PDF) – Sent to parents of a child who has difficultly modeling one or more of the values of the Six Pillars of Character. The circumstances of the mis-behavior are explained in the letter and notification of a re-teaching session is given. The letter encourages the parents to discuss the situation at home, and to collaborate with the school in reinforcing the school behavior standards in the home.
Positive Behavior Referral Letter Home (PDF) – Sent to parents in acknowledgement of positive behavior exhibited by the student. A description of the events is written and parents are encouraged to discuss the positive behavior with their child and to praise and encourage them to continue demonstrating good character.