Morey Public School Academy
Responsibility Room Student Plan
School Motto:
"I will always do my best by being respectful, honorable, truthful and caring"
Student:_______________________ Teacher:_______________________
Date:_________________________ Class:_________________________
What rule did I break?
________________________________________________________________________
________________________________________________________________________
What did I do that was inappropriate or unacceptable?
________________________________________________________________________
________________________________________________________________________
My plan for improving and making better choices is:
________________________________________________________________________
________________________________________________________________________
Who should I apologize to? How should I apologize?
________________________________________________________________________
________________________________________________________________________
Signatures required:
Student:__________________________ Teacher:______________________________
Parent:___________________________ Principal:_____________________________
_______ Parent contacted by phone
_______ Plan sent home with student, must be returned with parent signature
Assignments missed:
________________________________________________________________________
________________________________________________________________________
