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Time Out Record
Name:

Class:

Date:

I have been removed from my computer seat. I need to think about why I am in
Time Out, and I must complete a form to help me improve my behavior in the
computer lab.

Reason for placement in Time Out:



My plan for improvement:



My comments:



What I would like to do in computer class:

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Time Out

  • 1. Time Out Record Name: Class: Date: I have been removed from my computer seat. I need to think about why I am in Time Out, and I must complete a form to help me improve my behavior in the computer lab. Reason for placement in Time Out: My plan for improvement: My comments: What I would like to do in computer class: