Examples of Forms Developed for MYD

Document Library

NameDescription
DocumentBehavior TrendsA behavior tracking form developed by Tara Koebler, Estrella Vista Elementary School, Littleton School District, AZ
DocumentStep 4/5Developed by Cascade Elementary School, WA
DocumentConsistency ChecklistA form that promotes consistent implementation, Emerson Elementary School, Arizona
DocumentCheat SheetA one-page overview developed by El Mirage Elementary School first grade teachers who wanted all the need-to-know information on one sheet, along with a place for taking notes about student behaviors
DocumentSchool-Home CommunicationDeveloped by Estrella Vista Elementary School, AZ
DocumentStep 4 Conference Parent NotificationDeveloped by Holmes Elementary School, WA
DocumentIndividualized Behavior ContractDeveloped by El Mirage Elementary School, AZ
DocumentHall PassDeveloped by Lake Louise Elementary School, WA
DocumentCommon Area ExpectationsA form designed to maintain consistency in common areas throughout the school that uses a combination of a checklist and narrative information, developed by Littleton School District, AZ
DocumentSchool-Home CommunicationDesigned for middle school by Wooster Middle School, CT
DocumentStep 4/5Designed for middle school by Wooster Middle School, CT
DocumentParent Communication (English/Spanish)At times, it is necessary to mail the School-Home Communications because students are not showing them to their parents. West View School, WA, developed a cover letter to accompany those notes
DocumentObservation FormMYD Observation Form used by Estrella Vista Elementary School, Littleton School District, AZ
DocumentMYD PlannerPremier in Bellingham, WA will publish a custom planner designed by North Middle School. It has a specific place for students to record points and indicate if they have made their day. Premier has also done this for other schools. Note: Premier will check with MYD, Inc. to ensure that they are providing materials to a school that has received training. Contact information: Premier, a Member of the School Specialty Family, 1.800.536.2959.
DocumentSubstitute Survival GuideA short overview of MYD for a substitute that was developed by Sonoran Sky Elementary School, AZ
DocumentStep 4 Conference NotificationA form that communicates to the parent their child has chosen a Step 4 Conference, developed by Canon School District, AZ
DocumentSchool-Home Communication Spanish/EnglishDeveloped by Mountain View Elementary School, AZ
DocumentSchool-Home Communication TrackingSchool-Home Communication Tracking Form for return with signature developed by Tara Koebler, Estrella Vista Elementary School, Littleton School District, AZ
DocumentObservation ChecklistA form that promotes consistent implementation developed by Emerson Elementary School, AZ
DocumentPoints SlipHeidi Bigelow, a Speech-Language Pathologist, at Park Place Middle designed a point slip that students can take back to their teacher. This type of simple communication between the staff supports student responsibility and campus predictability.
DocumentPoint Sheet - Daily Prospect Middle School (AZ) Staff developed a daily point sheet that describes all aspects of points. This would be especially appropriate for students who would benefit from a more detailed description of their day.
DocumentPoint Sheet - WeeklyAn example of a weekly point sheet that gives parents more detailed information, developed by Prospect Middle School, AZ
DocumentReport to Homeroom TeacherDeveloped by Lucille Umbarger School, WA
DocumentSchool-HomeCommunicationSchool-HomeCommunication
DocumentSchool-Home CommunicationDeveloped by Larkspur Elementary School, AZ
DocumentStep 4 Process of Student AssistanceDeveloped by Sonoran Sky Elementary School, AZ
DocumentSubstitute Information for StepsIncluded in their MYD Overview for Substitutes is a chart that details examples of common behaviors and the steps in which they would result, developed by Patricia Benson, Anson County Schools, NC
DocumentConcerns for Other StudentsMonroe Public Schools developed a form that addresses concerns that cannot be handled during points and concerns. It addresses theft, harassment, fights, classroom issues and concerns.
DocumentStep 4Developed by West View School, WA
DocumentOops! I Made a MistakeA Report to Homeroom Teacher form developed by Simon Lake Elementary in Connecticut with a title that emphasizes mistakes are simply mistakes.
DocumentSchool-Home Communication (back of form)Developed by Simon Lake Elementary, CT.
DocumentSchool-Home Communication (front side)Developed by Simon Lake Elementary, CT.
DocumentStep 4-5 Conference ReferralDeveloped by Simon Lake Elementary, CT
DocumentSubstitute Feedback FormDeveloped by North Middle School in Washington to address the need for substitutes to relay information to the teacher and an opportunity to offer Recourse to students.
DocumentDaily Point Sheet Period By PeriodA detailed daily point sheet developed by Pioneer and Sky View schools that targets daily points, current goal, and other information for the student and parents.
DocumentDaily Point Sheet With Daily GoalDaily Point Sheet that is geared to an elementary school schedule. Developed by Pioneer and Sky View Elementary Schools in Arizona.
DocumentPoint Sheet with Behavior AcronymsDesigned for teachers who want to note behaviors that validate unearned points. Contributed by Tara Koebler.
DocumentDocumenting Behavior TrendsDesigned for documenting with date targeted unwanted behaviors for individual students. Contributed by Tara Koebler.
DocumentPoints Chart Intermediate ExcelAn Excel template for recording points for students that change classes. Contributed by Tara Koebler.
DocumentPoints Chart Primary ExcelA points chart using Excel that is designed for primary teachers. Contributed by Tara Koebler.
DocumentCommon Area Reminder for PointsDeveloped by Holmes Elementary School in Spokane, WA to help with student accountability and staff communication.
DocumentSchool-Home CommunicationDeveloped by Holmes Elementary School in Spokane, WA
DocumentStep 4-5 Conference ReferralDeveloped by Holmes Elementary in Spokane, WA
DocumentStep 4 Conference Parent ContactDeveloped by Holmes Elementary school for those occasions when parents can not be reach by phone when their child requests a Step 4 Conference
DocumentStep 4-5 Conference ReferralDesigned for elementary school by KiBe Elementary School, WA
DocumentCommon Area ReportDesigned for use in common areas by KiBe Elementary School, WA
DocumentSchool-Home CommunicationShared by a teacher who has found this less formal approach to be effective in generating a conversation between the student and their parents.
DocumentPoints and Concerns FormA form developed by Explorer Middle School in Everett, Washington that documents both Points and Concerns for each student.
DocumentSpecialist Point FormDeveloped by Lake Louise Elementary to facilitate the communication of points earned to the homeroom teacher.
DocumentSchool-Home CommunicationDeveloped by North Middle School in Washinton, this form gives the student an opportunity to reflect on their choices, both wanted and unwanted, providing parents with a more complete snapshot of their child's day.
DocumentStudent Success Parent CommunicationDeveloped by Indian Bend Elementary in Arizona to communicate to parents how students made their day.
DocumentSchool-Home CommunicationAn example of a student-designed School-Home Communication.