WEEKLY ACTIVITY REPORT 2011-12
Week Ending *

MM 		/
DD 		/
YYYY
Name *

First
Last

ACTIVITY REPORT

Choose 1-5 with 1 being best for each period
1st Period *
 1 
 2 
 3 
 4 
 5 
 n/a 
2nd Period *
 1 
 2 
 3 
 4 
 5 
 n/a 
3rd Period *
 1 
 2 
 3 
 4 
 5 
 n/a 
4th Period *
 1 
 2 
 3 
 4 
 5 
 n/a 
5th Period *
 1 
 2 
 3 
 4 
 5 
 n/a 
Advisory *
 1 
 2 
 3 
 4 
 5 
 n/a 
Lunch *
 1 
 2 
 3 
 4 
 5 
 n/a 
6th Period *
 1 
 2 
 3 
 4 
 5 
 n/a 
7th Period *
 1 
 2 
 3 
 4 
 5 
 n/a 
8th Period *
 1 
 2 
 3 
 4 
 5 
 n/a 

PARENTAL CONTACT ON DISCIPLINARY ISSUES

Name of Student Issue Type Mission - Fit Response

PARENTAL CONTACT ON OUTSTANDING STUDENT BEHAVIOR

Minimum of 2 Parental Contacts each week on 2 Student that are consistently compliant.
Name of Student Issue Type Mission - Fit Response

PARENTAL CONTACT ON ABSENCES

Parental Contact on the Second and followning absences from your class.
Name of Student Issue Type Mission - Fit Response

Any equipment, furniture,
or room repairs or
replacement needs?