Report of visit:

Name of Governor

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* 1. Name of Governor

Date of visit

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* 2. Date of visit

Term

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* 3. Term

Teacher

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* 4. Teacher

Subject / class in focus

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* 5. Subject / class in focus

Type of visit

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* 6. Type of visit

Purpose of visit?

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* 7. Purpose of visit?

Issues discussed

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* 8. Issues discussed

Positive comments

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* 9. Positive comments

Next steps for teacher

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* 10. Next steps for teacher

Next steps for Governor

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* 11. Next steps for Governor

Teacher acknowledgement/comments

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* 12. Teacher acknowledgement/comments

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