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TAWUG Disk No. 37 (SHK)
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MONTHLYREPORT
(
.txt
)
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AppleWorks Document
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1986-05-16
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4KB
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81 lines
O=====|====|====|====|====|====|====|====|====|====|====|====|====|====|====|===
7Introduction--This is modifiable type report which can :
8be used in a structured boarding school or residential- 0
.type care situation in which parents or other /
interested parties need information regularly
SOCIAL AND BEHAVIORAL EVALUATION
Name:
DOB:
DOE:
Period Covered:
Stages of Progress: (1) Orientation (2) Disillusionment=
(3) Internalization (4) Stabilization
Achievement Status: (1) Orientation (2) Integration,N
(3) Errands (4) Trust (5) Personal Responsibility,0
(6) Faculty Recommendation
Points Achieved: Week 1 Pts.
xxx
xx
% Week 2 Pts.
xxx
xx
Week 3 Pts.
xxx
xx
% Week 4 Pts.
xxx
xx
1. Abides by rules and procedures. <
2. Behaves appropriately in unstructured times. <
3. Complies with requests of authority figures. (
4. Attitude toward parents. 9
5. Attitude toward training and the program. 4
6. Attitude toward previous life style. &
7. Attitude toward peers. "
8. Self-esteem level. -
9. Openness toward Christianity. G
10. Ability to accept confrontation from authority figures. C
11. Attitude when kindness or love is shown by faculty. =
12. Genuineness in personal relationship with peers.B
13. Genuineness in personal relationship with faculty. )
14. Overcoming impulsiveness. 7
15. Capacity to play or work independently. >
16. Displays sensitivity to the feeling of others. -
17. Degrees of self - transcendence.E
18. Ability to give unselfishly in helping relationships. B
19. Makes concrete and realistic statement of reality. %
20. Apologizes sincerely. =
21. Emotional and/or physical tenseness, anxiety. $
22. Group participation. "
23. Responds promptly. 6
24. Order, neatness, respect for property. .
25. Work attitude and performance. 4
26. Pleasant and mannerly at meal times. @
27. Neatness and cleanliness in personal appearance. :
28. Truthfulness and honesty (facing reality). ;
29. Courtesy and respect for authority figures. I
30. Shows respect for other people's persons and possessions. /
31. Helpful and positive influence. #
32. School - attitude. %
33. School - cooperation. )
34. School - quality of work. @
35. Physical education - attitude and participation.
36. Target goal.
A - Excellent; B - Good; C - Average; D - Fair; E - Poor; F - Unacceptable.
Social and Behavioral Evaluation Con't. -
ACCOUNT RECORD
Opening Balance: $
Income: $
Expenses: $
Closing Balance: $
MAIL RECORD
Received:
Sent:
HEALTH
PHONE CALLS
ACTIVITIES
NOTES AND COMMENTS
EVALUATOR: SUPERVISOR:
Counselors Name Dean of Men or Women