Alternative Daily Assignment Reflection Form
 Bringing the ADA room into the 21st century with Restorative Practices.

Restorative practices are a way to have students actually learn from their unacceptable choices.  Restorative Practices is for all stakeholders involved, staff, students and parents, and in terms which everyone can understand, Restorative Practices is about Teaching and not about Punishing.  

Riverside Brookfield High School’s ADA room will add several Restorative Practice activities, so that staff will have a better understanding of the students and the students will have a better understanding of themselves.  As we move through the process, we want students to become responsible for their actions, this is not a fast process and may take some time for students to understand their behaviors and actions.

Restorative Practices activities for students as follows:
Check In  Check Out
I’m in Control Think Sheet
Questions for Cooling Down
Reflective Journal Prompts

Students would be required to complete one Restorative Practice activity per period, (all answers must be complete answers with thought, no one word answers). If the students complete all four activities, they will be allowed to leave at 3:05 not 3:15.

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1st. Period Activity 1    Check In Check Out with Security
Please conduct a conversation with students during 1st period. Students should complete questions below then come up and meet with Security during 1st period to review their answers. Students will also meet with Security at the end of the day 7th period as a recap as well.
Check In: 1st period
How are you feeling today?
What was a highlight or low point of your weekend?
What’s something you’re looking forward to in school this week?
What was the biggest challenge in completing your homework?
What’s something you need in order to have a successful day?
Check Out:  7th period
What was your favorite thing about today?
What are you looking forward to the rest of the day, this evening or weekend?
Give a compliment to someone for something they did well.
Talk about one of your academic goals and how you furthered that in class.
  2nd Period            Activity 2
          I’m in Control Think Sheet
Explain what happened to land you in ADA?
I’m in control when…….
I’m not in control when….
Poor decisions I made….
Decisions I failed to make….
How I can gain control again….
3rd Period Activity 3
  Questions for Cooling Down
What was the first thing that got to me?
What did I feel like doing?
 What did I do?
How did I try to control myself?
What else might I have done?
What could the teacher do to help?
         4th Period Activity 4
   Reflective Journal Prompts
Responsibility:
What makes a choice responsible or irresponsible?
Can you give examples of each type of choice?
Why is it responsible?
Why is it irresponsible?
Write a note of apology to those negatively affected by your actions.  Be specific related to why you regret what happened.
What are some things you might do to have a positive impact on others?
Reflect upon what happened.  Draw a picture of a better choice for yourself .
Consequences:
What choices have you made recently that had important consequences for you?
When you act out of anger or fear, what are you likely to regret later
Off Task Behavior:
What are some things that lead you to be off task?
How might you monitor yourself?
What helps you stay on task?
How does this help you reach your goals?
Student Contract For Restorative Practices in ADA
Date:
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YYYY
Student:
I understand that if I fill out these Restorative Questions to the best of my ability that I may have the option to leaving ADA at 3:05 pm instead of the normal release time of 3:15 pm.All Restorative Questions must be answered with thoughtful insight and not with one word responses.  You may reserve the right not to fill out the Restorative Questions but you will also lose the right of leaving at 3:05 pm.I understand that I still must abide by the regular ADA rules, failure to do so could result in the loss of the privilege of leaving at 3:05 pm and additional discipline which will be determined by the administration.   Please add your name below
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