Hans is a 6th grade student who is from Germany and an ELL student who struggles with Speaking out of turn, blurt out, making inappropriate or humorous comments at inappropriate times, tries to engage others while they are working, sing all the time and laugh, or makes noises on purpose, claim to not know what is going on, out of seat, walking around class, getting drinks, sharpening pencil, impulsivity over socializing, asking frequent and obvious questions.