ITINERANT SUPPORT CHECK LIST
FROM ____________ TO _____________
| NAME:_______________________ | |
| SUBJECT:____________________ | PERIOD: ____ |
| TEACHER:____________________ |
DIRECTIONS: PLEASE CHECK YES OR NO FOR EACH CATEGORY ON THIS CHECKLIST. ATTACH A GRADE MACHINE PRINTOUT OR COMPLETE THE INCOMPLETE ASSIGNMENT LOG ON THE BACK.
CLASS WORK:
| YES | NO | |
| COMES TO CLASS PREPARED | ||
| COMPLETES CLASS ASSIGNMENTS | ||
| PARTICIPATES IN CLASS DISCUSSIONS | ||
| COMPLETES HOMEWORK ASSIGNMENTS | ||
| IS PASSING GRADE |
BEHAVIOR:
| YES | NO | |
| IS IN CLASS ON TIME (HOW MANY LATE?) | ||
| IS NOT ABSENT A LOT (HOW MANY ABSENCES?) | ||
| ATTENDS DURING DISCUSSIONS | ||
| USES APPROPRIATE TONE, AND VOLUME | ||
| IS ON TASK | ||
| MAINTAINS APPROPRIATE BEHAVIOR | ||
| WORKS INDEPENDENTLY |
| TEACHER COMMENTS:
|
PARENT COMMENTS:
|
|
|
|
| TEACHER SIGNATURE:______________________ | PARENT SIGNATURE:______________________ |
| DATE:_______________ | DATE:_______________ |
PLEASE RETURN BY MONDAY TO TINA HOHLFELD - G06
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thohlfeld@netreach.net