* 1. Teacher Name

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

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

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

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

* 6. Curriculum Discrepancies

* 7. Classroom/Student Problems

* 8. General Comments

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