Student Teacher Rating Sheet with

Check-in/Check-outLaura A. Riffel, Ph.D.

Check In Check Out Program

• Have the student check-in with a preferred adult first thing in the morning- before they go to their first class.

• You might have them check-in throughout the day if needed.

• Have them check-out again at the end of the day with this preferred adult.– This adult will check to see how the day is going and

prevent things that might be brewing.– Some students will need to check in throughout the day.

Horner & Hawken, 2005

Younger Children• HUGS:

–Hello

–Update

–Good-bye

Student-Teacher Rating Form

Date:

Student Hour One Hour Two Hour Three Hour Four Hour Five Hour Six

Respect Self

Respect Others

Respect Property

TotalPoints

3= Great Day- No or very few behavioral learning opportunities occurred2= Pretty Good Day- few behavioral learning opportunities occurred1= This day could have been better- more than a few behavioral learning opportunities occurred

Student Signature: _________________________________________________Teacher Signature: _________________________________________________Parents' Signature: _________________________________________________For younger students use smiling faces:

Check in-Check

outH

ome

chec

k-in

Earned reward

Parent report to school

Graph points

Review points

Graph points

Adapted from Hawken 2008