Forestville Military Academy

Forestville Military Academy

Demerit Form

Cadet Name: ___________________________________ Date/Time: 01/01/201020112012201320142015201620172018201920202009 01:01 AMPM

Referring Teacher: ___________________________________ Grade Level:9101112 (Select)

This form will be used for behavior and uniform violations.

You are receiving a demerit form because you failed to:

Show Respect (cursing, disrespectful, tone/attitude, inappropriate comments/behavior, verbal insults,

inappropriate language towards teacher/fellow cadet, electronic devices on or in use in class or school)

Be Responsible (prepared, refusal to work, dishonesty, sleeping, refusal to follow directions, no ID, uniform violations that can be corrected on the spot or could not be corrected on the spot)

Demonstrate Integrity (Cheating, Academic Dishonest, Plagiarism, Internet/Computer misuse, Lying)

Location:

Classroom (Subject: ______________________________ ) Non-Classroom Area

Comments: ____________________________________________________________________________________________________________________________________________________________________________________

Teacher Signature:______________________________________________________________________

I talked with cadet I talked with my cadet’s parent/guardian

1 copy – Teacher 1 copy – PBIS Rep 1 copy – Parent/Guardian 1 copy – Administrator/Counselor