Homework Contract #3006

Name:___________________________________ Date:____________________________
Use this homework contract to set goals for yourself and earn rewards and privileges.


I, _____________________________ (child's name), do hereby declare that I will copy all

assignments that I am given in class and that I will do all my homework and turn it in when it is due.

Furthermore, I will only ask for help if and when I don't understand what I am supposed to do.

I will work as neatly as I can and I will check my work to make sure it is done correctly. When I

finish my homework I will put it away in a safe place to bring to school the following day.

In WITNESS WHEREOF, we have subscribed our names on this date.


Child's signature:___________________________________

Witness's signature_________________________________

Adapted from Attention Deficit Accommodation Plan for Teaching (ADAPT) by Harvey C. Parker. Specialty Press, Inc. All rights reserved. This form may be copied for use in your practice.