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Student Action Plan


Mr. Holmes                Quincy High School               Information Technology/Electronics


Student Name:




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 _________________

E-Mail Mr. H

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