1. Self-Management Paper Checklist
Instructions:
Fill out this checklist for each draft of your Self-Management paper. Your paper will not
be graded if you do not have this checklist attached to your paper.
In the ‘Student Initials Verifying Completion’ column, initial only the components you
completed.
Your GSI will check off the components you completed and enter the point value you
earned for each component.
‘Bonus Points For the Following’: please initial if you have included any of the
components in this section. Your GSI will check off and input the number of points
earned.
Requirements Student GSI
Initials Check Point Values
verifying Off
completion
Point Points
Earned Possible
Title Page 1pt
Analyze the natural contingencies and problem 4pt
description
Ineffective contingency diagram and description 5pt
Competing contingency diagram and description 5pt
Specify the performance objectives description 4pt
Design the intervention description 4pt
3 contingency model and description 5pt
Implement the intervention description 4pt
Evaluate the intervention description 4pt
Graph of your performance data 3pt
Phase change line 1pt
Labels for axes and phases (baseline and 1pt
intervention)
Goal line 1pt
Recycle the intervention description 4pt
Use at least four definitions from the homeworks 4pt
that we have covered this semester
TOTAL: /50
Bonus Points For the Following:
Graph of benefit measures (if possible) (1pt)
Clip Art (1pt)
Charts, diagrams, job aids that were used during (1pt)
the intervention (if applicable)
Performance Contract (1 pt)