We are 40% more likely to do something when we write it down. In order to help students build autonomy and awareness of their goals, use this form to help students self-monitor their attendance.

This form will help keep students set and maintain goals related to improving their attendance. It is best used with 5th-12th graders, but could be modified to work with K-5th grade students that are at risk or already are chronically absent.

To make this form even more effective, ensure a trusted adult checks the form regularly and provides positive feedback or meets with the student to help address attendance barriers when needed.

This process can provide an opportunity for conversation between the adult and the student which can lead to a meaningful one-on-one connection so that students feel supported.

Attendance Monitoring Form

Name: _________________________________

My total number of absences last school year (20__/ 20__) were_________.

Current school year: 20__/ 20__. My goal is no more than ___ absences this year.

Directions: Fill in the weekday calendar template with the dates that correspond with the current month. Pick a color for each attendance category and color in the days of the month using your coding.

Attendance category:

◻ I was at school all day ◻ I was tardy ◻ I left early ◻ I was absent all day

Month: __________ Year: ________

Absences this month: ____ Total absences to date: ____