Name:   Teacher:  Class/Course:  Date: 
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Student Responsibilities----------------------------------------------------------------------------------------------------------------
Teacher Responsibilities---------------------------------------------------------------------------------------------------------------
Length of Contract------------------------------------------------------------------------------------------------------------------------
Sign-Offs-------------------------------------------------------------------------------------------------------------------------------------
[Student Name]
[Teacher
Name]
[Course Title]
[Date]
[Contract Title]
I am taking part in this learning contract because the strategies listed here will help me to learn the material
and perform well in this course.
I have chosen to complete the following actions:
My teacher will help me to achieve success in this course through these actions/supports:
1.
2.
3.
4.
The terms of this contract will continue until:
Teacher
[Student Name]
Student
[Parent Name]
Parent