Copy of Copy of Student Information Form/Behavior Policy

The Hangar Club After School Program Behavior Policy

School-wide Positive Behavioral Interventions & Supports (PBIS) is a proactive, team-based framework for creating and sustaining safe and effective schools. Emphasis is placed on prevention of problem behavior, development of pro-social skills, and the use of data-based problem solving for addressing existing behavior concerns. School-wide PBIS increases the capacity of schools to educate all students utilizing evidence-based school-wide, classroom, and individualized interventions. 
All students enrolled in the Hangar Club After School program must be able and willing to attend given academic tasks, actively participate in group activities and follow Hangar Club guidelines:
* Students will treat all adults and children with respect. Respectful, courteous language is expected towards teachers, children and parents. Inappropriate behavior such as rudeness, teasing, mimicking, unkind or inappropriate words, swearing, physical or emotional threats, sexual harassment, and lying are not permitted. 
*Students are expected to comply whenever an adult or a child asks for an inappropriate behavior to stop. 
* Students will treat all personal and school property with respect. Lost, stolen, defaced or destroyed property will be repaired or replaced by the parents of those responsible.
* If a child fails to follow The Hangar Club behavior guidelines or in any way undermines a healthy learning environment, endangers himself, others or property, he/she will be asked to withdraw from the Hangar Club After School Program. 


Name(s) of student(s) __________________________________________________________________________________________________________________________________________________________________________


Parent Signature:­­­­­­­­­­­­­­­­­­­­­­­­­­__________________________________________________________________

Date: ________________________

Thank you for taking time to fill out this pertinent information concerning your child. Your answers will only be used to help us get to know your child. Please submit this form after you enroll your child. If you have questions, please email us.

    Child's Information

  • Parent/Guardian Information

  • Phone
    Text message

  • Other Information

  • Survey

  • Acquires basic skill knowledge quickly
    High expectations for self and others
    Fluent, concise self expression
    Good judgment in decision making
    Enjoys participation in various athletic opportunities
    Excels in motor skills
    Advanced comprehension
    Likes structure
    High academic success
    Well-liked by peers
    Talks out of turn
    Poor planning and organizational skills
    Delays in learning to write
    Preoccupied with own thoughts—daydreamer
    Dislikes and avoids writing
    Papers are messy and incomplete; many cross‐outs and erasures
    Challenged by difficult athletic activities
    Poor spelling (spells phonetically)
    Confuses similar‐looking letters (b and d, p and q)
    Inaccurate copying
    Omits letters from words and words from sentences
    Talks out of turn
    Confuses similar‐looking words (bread and beard)
    Reverses words (reads was for saw)
    Difficulty recognizing and remembering “sight” words (but can sounds words out phonetically)
    Frequently loses place when reading
    Poor comprehension of main ideas and themes
    Poor alignment of problems results in computation errors, difficulty memorizing math facts
    Poor memory for printed words (also number sequences, diagrams, illustrations, and so on)
    Difficulty estimating time, being on time
    Poor sense of direction; slow to learn his or her way around a new place
    Confuses left and right
    Does not pickup on other people’s moods and feelings (results in often saying the wrong things at the wrong time)