Character Development Program — Take-Home Sheet

00

Student Information

Fill in all fields before completing the rest of the form

Student First Name *

Student Last Name *

Age *

Belt Rank *

School / Institution *

Submission Period *

01

Self-Discipline Acts

Write something you did on your own at home or at school

💡 Younger students: Record things you did on the first try without being told — getting dressed, tidying your room, starting homework, etc.

02

Home Report Card

Rate your child's behaviour at home this month

Grading Key: E — Excellent · S — Satisfactory · N — Needs Improvement
Custom rows at the bottom of each section are for any special jobs or behaviours you want to track.

🏠 Family

Obeys parents cheerfully

Cooperates with siblings / cousins

Tells the truth

🧼 Personal Care

Keeps room clean

Puts clothes, toys & essentials away

Baths/showers and brushes teeth daily

🏫 School Conduct

Shows respect to teachers & students

Gets ready for school on time

Completes homework independently

🥋 Taekwondo Conduct NEW

Attends class consistently

Shows respect to instructor & peers

Practises at home between classes

Arrives in proper uniform & on time

03

School Work Review

Rate your child's overall academic performance this month

You do not need to attach any school papers. Give your honest overall impression of homework, tests, quizzes, and projects.

Overall Academic Grade *

Excellent

Good

Average

Needs Improvement

Subject Breakdown (optional)

Mathematics

Language Arts / English

Science

Social Studies

Physical Education

Other / Elective

Tenet My Child Demonstrated Most This Month (optional)

🙏CourtesyYe Ui

⚖️IntegrityYom Chi

💪PerseveranceIn Nae

🧘Self-ControlGuk Gi

🔥Indomitable SpiritBaekjul

04

Parent Comments

Share what your child is working on and what needs support

✅ My child is working hard / excelling with…

1

2

3

⚠️ My child needs to improve in…

1

2

3

💬 Please speak to my child about… NEW

🌟 A moment I'm proud of my child this month NEW

05

Parent / Guardian Sign-Off

Confirm the information above is accurate

Parent / Guardian Full Name *

Date *

WhatsApp / Phone Number

Relationship to Student *

By submitting this form I confirm that the information provided is accurate, and I have reviewed it with my child. I understand this sheet must be returned during the last week of the month to qualify for Student of the Month or belt exam merit.