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* 1. Please type your first and last names.

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* 2. Please evaluate yourself honestly in each of the following areas.

  never seldom sometimes mostly always
I am honest.
I bring necessary materials to class every day.
I am responsible in completing my assignments on time.
I use mindfulness time seriously.
I am not disturbing or distracting to others during class.
I am quiet and listen when others are speaking during class.
I volunteer to participate on a regular basis (strongly weighted).
I stay on-task and focused when I use technology during class.
I stay on-task and focused during large group instruction.
I stay on-task and focused during small group work.
I am willing and enthusiastic to work with people other than my friends.
I strive to be positive and optimistic during class.
I respect my peers (this includes not talking over them)
I respect my teacher (this includes not talking over him).
I respect the classroom space (no trash behind or drawing on desks).
I respect school property, such as school-owned books that I borrow.
I use the sign-out sheet properly: full name, destination, and actual times in and out.
I do not overuse (abuse) my classroom sign-out privileges.
I give helpful, constructive feedback during peer review sessions.
I thoughtfully consider my peer reviewers’ comments on drafts.
I am honest, thoughtful, and thorough in self-reflections and evaluations.
I review my teacher’s comments and attempt to improve from them.
My attendance record is strong.
I give 100% effort.
I am cooperative and productive when there is a substitute.

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* 3. How could you possibly improve upon your weaker areas of class performance (the criteria you just evaluated)?  Please set a plan and put it into action starting...now!

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* 4. Please provide any explanation(s) you would like me to consider when evaluating your class performance grade this term.

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* 5. Considering all of the above criteria and your explanation(s), what grade do you believe you have EARNED for class performance this term?

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