PBIS Rewards Student Incentives
Complete this form to identify the incentives you enjoy the most.
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For each option, please state your level of interest in being able to use your points to earn that prize/privilege from the school store or your teacher's store. *
Definitely Interested
Somewhat Interested
Not Interested
Positive Note/Phone Call Home
Lunch With Your Teacher
Homework Pass
School Supplies (pencils, notebooks, etc.)
School Spirit Gear
Class DJ
For each option, please state your level of interest in being able to use your points to participate in that event. *
Definitely Interested
Somewhat Interested
Not Interested
Pet Parade
Pizza Party
Movie Night
Admission to a Sporting Event
Dance Party
Bingo
For each option, please state your level of interest in being able to use your points to participate in that raffle. *
Definitely Interested
Somewhat Interested
Not Interested
Gift Card
Ear Buds
School Spirit Gear
Donation To Your Favorite Charity
Principal For the Day
E-Reader
Are there any gift cards you would like to see available for raffles? If so, please list them below.
Do you have any suggestions for other prizes or privileges?
Do you have any suggestions for other events or raffles?
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