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Policy IHBAJ-E

Progress Report Form

Date: _________________ High School:  ________________________________________

Student’s Name: ________________________________________

Town Responsible for Student:  ____________________________


Fill Out Relevant Portion  


January Progress June Progress  

  

  • No Concerns at this point  

  • The following concerns (academic/special) exist:  

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

Please attach a copy of this semester’s rank card.  

Concerns with the student:  

  • Transferred to another high school Date:  __________________________________

  • Moved to another town. Date:  __________________________________

  • Has been absent for more than 10 school days.  Dates of absence:  _________________________

  • Has been removed for disciplinary reasons. Date:  __________________________________

  • Referred to an alternative program.  

  • Referred to Student Assistance Team.  

  • Has been referred by staff or parent/guardian for consideration as a  possible special needs student.  

  • Other.  

Summary of action to be taken in response to concerns: 

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________


Adopted: July 8, 2002 


*Please excuse any formatting errors.