Adopted: September 1983
Revised: November 2006
Download 602.8.2.1.1P - Instruction Log for a Student Unable to be in School
TEACHER: Submit this completed form to your principal when instruction is completed.
Student’s Name: ________________________________________________________ Grade: ______________
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Hours of Direct Instruction |
Specific Instructional Activities and Outcomes |
Where Instruction Occurred |
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Signature of Teacher Date
Distribution: Original - student’s cumulative folder
Copy – Office of Student Records