Free parent contact log 07
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Teacher

Admin. Signature _______________________

Name:
Dept.:

.
.

Dept. Chair. Signature___________________

Week of:

.

Signature Signature ____________________

Teacher

EDCOUCH-ELSA HIGH SCHOOL
PARENT CONTACT FORM
2016-2017
PARENT CONTACTS SHOULD BE MADE FOR ANY STUDENT WITH A WEEKLY GRADE AVERAGE OF 70 OR
BELOW.
STUDENT NAME/
ID #

GRADE
LEVEL

PHONE
NUMBER

TIME
CALLED

PERSON
CONTACTED

WEEKLY
GRADE

STUDENT
ATTENDED
TUTORIAL
YES/NO

DAILY
ATTENDANCE

1

M

T

W T F

2

M

T

W T F

3

M

T

W T F

4

M

T

W T F

5

M

T

W T F

6

M

T

W T F

7