Student’s Name: ______________________ Teacher:_________________
1
2
3
4
Quarter:
Wolverine Personal Responsibility Chart
Category
Date
Date
Date
Date
Detention*
Classroom Misconduct
Playground Misconduct
Bus Misconduct/Referral
Lunchroom Misconduct
Choir/Music/Band Referral
Library Misconduct
Incomplete Assignments
Late Assignments
Unprepared for Class (Materials Included)
Uniform Not Returned on Time/Damaged/Lost
Unreturned Communication Notes
Other
*Detention – students will be assigned to detention for each point beyond elimination
To earn the reward:
0-3 Penalty Points in one area (when student reaches 4 he/she is eliminated)
0-5 Penalty points in various areas (when student reaches 6 he/she is eliminated)
Automatic Elimination from Reward Activity:
1. 4 points in any one area
2. A total of 6 or more penalty points in any area
3. Any suspension
I have reviewed the Wolverine Personal Responsibility Chart with my teacher and parent. I understand
that through hard work and proper citizenship, I can earn this reward.
Student Signature:__________________________________________ Date:__________________________
Parent Signature:___________________________________________ Date:__________________________
Revised 8/15