Professional Documents
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Teacher__________________Subject____________Grade Level________Date__________Period_______Time___________
School_________________________________________
Lesson_________________________________________ Standard(s)__________________________________________
The teacher was teaching to one or more standards (circle one) Yes No
Comments:
I have received a copy of this form. I understand that my signature does not necessarily constitute agreement with its contents and that
I have an opportunity to respond if I disagree.
Signature______________________________________ Signature_______________________________________
Teacher_______________________________________ Administrator____________________________________
Date__________________________________________ Date___________________________________________
Please sign and return to the principal Please sign and visit with the principal