Behavior Plan Template Guide

Use this template to co-create a clear, consistent home-school behavior plan. Fill in each section with as much detail as possible.

1. Student Information

Name: ________________________________________ Grade/Teacher: ______________________

2. Target Behavior(s)

Clearly describe the specific behavior(s) you want to increase or decrease. Be concrete and observable.

• ________________________________________________________________________________

3. Desired Behavior Expectations

What will the student do instead? List 2–3 positive behaviors or skills to replace the target behavior(s).

2. _______________________________________________________________________________




3. _______________________________________________________________________________

4. Rewards & Incentives

Identify meaningful rewards to reinforce the desired behavior(s). You may use a point system, token economy, or privileges.

• Reward Type (e.g., sticker, extra screen time, praise): ____________________________

5. Consequences & Supports

Outline consistent, fair consequences if the target behavior occurs. Include any proactive supports (e.g., prompts, breaks).

• Consequence (e.g., loss of privilege, time-out): _________________________________





• Proactive Support (e.g., visual cue, choice board): _______________________________

6. Monitoring & Communication Schedule

Use the Home-School Communication Log to track progress. Specify who will record, how often, and how feedback will be shared.

• Tracking Responsible (e.g., parent, teacher): __________________________________




• Frequency (e.g., daily, weekly): ________________________________________________




• Communication Method (e.g., email, log sheet, phone call): _______________________

7. Review & Adjustment Plan

Set a date to review progress and make adjustments. Note any observations or next steps.

Review Date: ________________________ Participants: _____________________________

Notes & Reflections

• _______________________________________________________________________________

Feel free to add additional rows or details as needed. After completing this plan, partner with your child’s teacher and use the Home-School Communication Log to sustain consistent tracking and support.

Home-School Communication Log

Use this daily log to record target behaviors, comments, and signatures. Share between teacher and parent to maintain consistent communication and reinforce progress.

After one week of tracking, review the log together to discuss successes, challenges, and any adjustments needed in the Home-School Behavior Plan.

Sample Behavior Plan Example

This sample illustrates a complete home-school behavior plan for a third-grade student, Jordan Smith, who struggles with completing homework and staying on task at home.

1. Student Information

Name: Jordan Smith
Grade/Teacher: 3rd Grade / Mrs. Patel

2. Target Behavior(s)

Jordan often:

• Leaves assignments unfinished or turned in late
• Gets distracted by toys or screens during homework time

Observable Description: Jordan begins homework after school but spends more than 15 minutes playing with toys or using an electronic device before returning to work. Assignments are often incomplete or submitted a day late.

3. Desired Behavior Expectations

1. Jordan will begin homework within 10 minutes of arriving home.
2. Jordan will work uninterrupted on assigned tasks for 20–25 minutes per session.
3. Jordan will complete and submit homework on the same day it is assigned.

4. Rewards & Incentives

• Point System: Jordan earns 1 point for each on-time homework session (20–25 minutes) and 2 points for completing all assignments by 6 PM.
• Reinforcement:

• 5 points = 10 extra minutes of screen time after dinner
• 8 points = choice of a Saturday morning activity (e.g., park visit or baking together)

5. Consequences & Supports

• Consequence: If Jordan does not begin homework within 10 minutes or takes unscheduled breaks, he loses 1 point for that session.
• Proactive Supports:

• Visual check-off list on the refrigerator for each homework step
• A quiet, clutter-free workspace with all materials ready
• A 5-minute warning before the end of each 20-minute work period

6. Monitoring & Communication Schedule

Use the Home-School Communication Log to track daily progress.

• Tracking Responsible: Parent records points each evening; teacher reviews weekly.
• Frequency: Daily log entries on weekdays.
• Communication Method: Parent scans and emails the completed log to Mrs. Patel every Friday; teacher replies with brief feedback and encouragement.

7. Review & Adjustment Plan

• Review Date: May 15, 2024
• Participants: Jordan, Parent (Ms. Smith), Mrs. Patel (Teacher)

Next Steps:

• Discuss which incentives were most motivating.
• Adjust session length (e.g., increase to 30 minutes) if Jordan consistently meets goals.
• Consider introducing a small group study session after school if focus remains a challenge.

Notes & Reflections

• Week 1 Observations: Jordan earned 12 of 15 possible points, showing improvement in starting homework promptly.
• Challenges: Occasional off-task behavior when siblings are playing nearby; may need noise-reducing headphones.
• Successes: Jordan reported feeling proud of consistent progress and enjoyed choosing extra screen time.

This example demonstrates how clear expectations, consistent tracking, and meaningful rewards can help Jordan build strong homework habits while keeping families and teachers connected.