RAISE Reflection Worksheet
Restorative Intervention
RAISE Reflection Worksheet
CONFIDENTIAL
Student Name
Date of Reflection
Teacher Name
Every member of our school community has the right to feel safe, respected, and comfortable in their own body and clothes. Making mistakes is a part of growing up, but restoring trust requires looking honestly at how our actions affect others. Reflect on how your recent actions align with our school's core RAISE values.
R Respect
Physical Boundaries & Body Consent
Pulling down another student's pants violates their personal space and dignity. Why is touching or pulling someone's clothing without consent always unacceptable?
A Achieve
Maintaining a Safe Learning Environment
A safe classroom allows everyone to focus and succeed. How did this incident disrupt the school day, and how does it make it harder for others to focus on their learning?
I Include
Belonging vs. Public Humiliation
Inclusion means making sure everyone feels welcome and safe. How does public embarrassment or making someone the target of a joke break their sense of belonging?
S Service
Responsibility to Our Community
Serving our school community means protecting and standing up for one another. How did this action fail to support your peers, and how can you serve them better next time?
E Empathy
Understanding Another Person's Feelings
Empathy is putting yourself in someone else's shoes. Imagine how you would feel if someone did this to you. What specific feelings did the other student likely experience?
RAISE Restorative Practice Framework • Grade 6 Turn this in to your Teacher when complete.
Restorative Growth Contract
Restorative Action Plan
Restorative Growth Contract
COMMITMENT
Student Name
Date of Agreement
Teacher Name
The Golden Rule of Physical Boundaries
Every person’s body, space, and clothing belong strictly to them. Touching, pulling, or tampering with another student's clothes (including pants) is a complete boundary violation. It is never a joke, and it is never acceptable. We must maintain absolute respect for personal physical consent at all school activities.
1. Repairing the Harm & Apologizing
An apology is more than just saying "sorry." What concrete actions or words will you use to make things right with the person you humiliated? How will you help them feel safe around you again?
2. Rebuilding Classroom Trust
Trust is built through consistent behavior over time. How will you show your teachers, administrators, and peers that you understand boundaries and are committed to keeping school safe?
3. My Future Commitments (Read and initial each pledge)
__
I will respect physical boundaries completely. I will never pull, touch, or grab anyone's clothes, body, or personal items.
__
I understand that embarrassing or humiliating someone is bullying. I will actively work to include others and build them up.
__
If I feel restless, impulsive, or tempted to make a joke at someone's expense, I will pause and walk away or talk to a trusted adult.
By signing below, we agree to support the student's growth and hold them accountable to these commitments.
Student Signature
Parent/Guardian Signature
Teacher/Admin Signature
RAISE Restorative Practice Agreement • Grade 6 Copies to be kept by the student, parent, and administration.
