Civics Welcome Call Log
| Verified name of student (spelling of first, middle, and last names) and DOB? {formmenu: default=Yes- they were correct; No- incorrect and are now updated} | |||||
| Indicate with an “X” who verified student's IEP/504/ELL Plan status | |||||
| Student | {formtext} | {formtext: name=Student Name} | |||
| Parent/ Guardian | {formtext: default=X} | Specify with whom: {formtext: name=parent/guardian name} | |||
| Other | {formtext} | Specify with whom: {formtext: name=(name required here)} | |||
| Indicate with an “X” the student’s IEP/504/ELL status and related documentation | |||||
| No; student does not have an IEP/504/ELL plan | {formmenu: default=X; } | ||||
| Yes; student has an IEP/504/ELL Plan | {formmenu: X; default=} | IEP/504/ELL Plan documentation is ON FILE | |||
| {formmenu: X; default=; multiple=no} | IEP/504/ELL Plan directions for submission emailed to: {formtext: name=name} | ||||
| Contact Details | |||||
| Student’s Phone # | {formtext: name=student #} | Text: {formmenu: default=Yes; No} | |||
| Parent Phone # | {formtext: name=parent #} | Text: {formmenu: default=Yes; No} | |||
| Preferred method of contact for MC | {formmenu: default=Text; Call; Email} | Additional notes on SH specific MC process - Teacher and student must speak voice to voice monthly - If student in Good Academic Standing you will not need to speak to a parent via phone, progress update via email or text - If the student is NOT in Good Academic Standing; 2 way contact with parent needed | |||
| Reviewed pace chart and consistent work expectations? | {formmenu: default=Yes; No} | ||||
| Discussed GP and 14 day seat time? | {formmenu: default=Yes; No} | ||||
| Discussed AI | {formmenu: default=Yes; No} | ||||
| Course Details | |||||
| Discussed EOC exam {formmenu: default=Yes; No} | {formmenu: X; default=}- Public school student has already completed EOC | ||||
| {formmenu: X; default=}- Public school student has not yet taken EOC exam | |||||
| {formmenu: default=X; }- Private school or home education student that is planning to take EOC exam If student will be taking EOC teacher fills out form: https://forms.gle/X5zrprLF55LaTozo8 | |||||
| Additional Notes/ Student Details | {formtext: name=details} | ||||
{key: shift-tab} WC completed