"Behavior Contract Template"

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Behavior Contract
I, _________________________, agree to do the following
behaviors:
1. _________________________________________
2. _________________________________________
3. _________________________________________
When: ________________________________________
How Well: _____________________________________
If I am successful, I will receive _______________________,
given by _________________________, on _____________.
Bonus Clause _______________________________________
_________________________________________________
Penalty Clause ______________________________________
_________________________________________________
______________________________________
(Student Signature)
Date
______________________________________
(Teacher Signature)
Date
Adapted from “The Tough Kid Tool Box” (Jenson, Rhone, & Reavis, 1994)
Behavior Contract
I, _________________________, agree to do the following
behaviors:
1. _________________________________________
2. _________________________________________
3. _________________________________________
When: ________________________________________
How Well: _____________________________________
If I am successful, I will receive _______________________,
given by _________________________, on _____________.
Bonus Clause _______________________________________
_________________________________________________
Penalty Clause ______________________________________
_________________________________________________
______________________________________
(Student Signature)
Date
______________________________________
(Teacher Signature)
Date
Adapted from “The Tough Kid Tool Box” (Jenson, Rhone, & Reavis, 1994)