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Self and Match Chart

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Goal:  31/36 Points          Score for the Day:                                          If Student Says: If Teacher Says: # of Points Earned!

Yes Yes 2
No No 1
Yes No 0
Jake's “Self & Match” Form
I had positive interactions I waited to speak until I was I completed my work as Number of Points
with peers/teachers called on with no more than 1 directed with no more than 1 Earned
reminder reminder
Student Teacher Student Teacher Student Teacher Total
Math YES YES YES YES YES YES
NO NO NO NO NO NO 
R  R R  R
Encore YES YES YES YES YES YES
NO NO NO NO NO NO
R  R R  R
Writing YES YES YES YES YES YES
NO NO NO NO NO NO
R  R R  R
 GR/ YES YES YES YES YES YES
Independent NO NO NO NO NO NO
Reading R  R R  R
Whole Group LA YES YES YES YES YES YES
NO NO NO NO NO NO
R  R R  R
Social Studies/ YES YES YES YES YES YES
Science NO NO NO NO NO NO
R  R R  R
/ 36 

Reward earned:
Salter & Croce (2006)
GOAL: _____%
Goal:  31/36 Points          Score for the Day:                                          If Student Says: If Teacher Says: # of Points Earned!
Yes Yes 2
No No 1
Yes No 0

Salter & Croce (2006)


GOAL: _____%

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