Student Action Plan

 

Mr. Holmes                Quincy High School               Information Technology/Electronics

 

Student Name:

 

Class:

 

Simply state the problem (rule broken):

 

List causes of the problem:

 

 

 

 

 

 

 

 

Action I, as a student, will take to correct the problem and/or prevent it from reoccurring:

 

 

 

 

 

Student Signature ________________________________________  Date _________________

Parent Signature _________________________________________   Date _________________

Teacher Approval ________________________________________   Date _________________