Rubric:

Student: _________________________ Evaluator: __________________

Behavior:______________________________________ Date:_________

Writing  
Yes
No
  Did the student being disciplined take notes?    
Listening      
  Did the student maintain eye contact throughout the meeting?    
  Did the student have a pleasant expression during the meeting?    
  Did the student nod his head in agreement throughout the meeting?    
Speaking      
  Did the student use a pleasant voice?    
  Did the student repeat back the criticism?    
  Did the student offer suggestions for improved behavior?    
 
Score/Points
   

Additional Comments:____________________________________________________