Teacher Name

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* 1. Teacher Name

Report for the Week of (Monday through Sunday date)

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* 2. Report for the Week of (Monday through Sunday date)

Location(s) reporting on (include grade levels within one location) Ex: Location 1 - Grade 2  Grade 3  Grade 4 etc.

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* 3. Location(s) reporting on (include grade levels within one location) Ex: Location 1 - Grade 2  Grade 3  Grade 4 etc.

Weekly Student Count (per location/per grade level)

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* 4. Weekly Student Count (per location/per grade level)

Week Lesson (per location/per grade level)

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* 5. Week Lesson (per location/per grade level)

Curriculum Discrepancies

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* 6. Curriculum Discrepancies

Classroom/Student Problems

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* 7. Classroom/Student Problems

General Comments

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* 8. General Comments

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