Name:

Date:
I have made following choices that have caused me to need to stop and
Think about it.
1. What did I chose to do?

Time

Consequence
I received teachers
1st reminder and my
stick moved to blue
bucket.

I broke the following rule:

2. What did I chose to do?

Time

Consequence
I received teachers
2nd reminder and
my stick moved to
purple bucket.

I broke the following rule:

3. What did I chose to do?

Time

Consequence
I received teachers
3rd reminder and my
stick moved to
orange bucket.

I broke the following rule:

4. What did I chose to do?

Time

Consequence
I received teachers 4th
reminder and my stick
moved to red bucket. I have
received the Think Sheet.

I broke the following rule:

Who did I bother or

disrespect?
Why did I make this choice?
My choice affected my
learning by

Name:
Date:
Two things I could have done
instead.
Parents signature and date:
Choices:
I hurt my classmate.
I used disrespectful word or wrote disrespectful note to other.
Like, .
I was disrespectful to my teacher.
I refused to follow instruction.
I pushed or kicked my classmate.
I was engaged in unsafe behaviour, like
I was disrupting my learning by doing
I was interrupting others learning by . (Making noises with
my feet/pencil/ mouth etc.)
I was wasting time in washroom..
I was talking while I was not supposed to..
I was interrupting the lesson.
I left the classroom without permission.
I didnt take responsibility of my action.
I was engaged in disrespectful and inappropriate behaviour in
washroom (kicking or peeping into the stalls, kicking the walls,
splashing water to others, writing or marking on wall, hanging
on stall)
Classroom rules:
1.
2.
3.
4.
5.
6.
7.

Show respect to others.

Listen while others are talking. (One person talks at a time.)
Listen and follow directions.
Keep feet, hands and objects to myself.
Respect voice level expectation.
Show respect to school and personal properties.
Work and play in a safe manner.

Our three pledges:

Rasulullah (SAW)) said, The best among

you in Islam are those with the best manners,

Name:
Date:
Safe
environment,
Respectful
manner,
Learning
attitude.

so long as they develop a sense of

understanding. (Al-Bukhari)
Rasulullah (SAW) said: The most beloved of
Allahs servants to Allah are those with the
best manners. (At-Tabarni)