Joel P. Jensen Middle School
CITIZENSHIP CONTRACT
I ________________________________________________(student name) wish to raise my
citizenship in __________________________________________(Teacher's name) classroom.
Current Citizenship: S N U
Desired citizenship: H S N
I Understand That:
I must abide by every criteria listed for the desired citizenship grade in the following area(s).
1 ______________________________________ 4 __________________________________
2 ______________________________________ 5 __________________________________
3 ______________________________________ 6 __________________________________
I must abide by those requirements for a period of:
2 weeks
4 weeks
Other (negotiated with teacher)
Failure to comply with any of the requirements listed for my desired citizenship will void this contract and my citizenship will stay the same or be lowered depending on my behavior and performance in class.
_________________________________________________/___/____
STUDENT SIGNATURE
_________________________________________________/___/____
PARENT SIGNATURE
_________________________________________________/___/____
TEACHER SIGNATURE
DATE COMPLETED: ________/_____/_____
NEW CITIZENSHIP: H S N U
IT IS THE RESPONSIBILITY OF THE STUDENT TO RETURN THIS
CONTRACT TO THE TEACHER UPON COMPLETION