CUBA ELEMENTARY TEACHER CHECK-OUT FORM
CUBA INDEPENDENT SCHOOLS
SCHOOL YEAR_____________
Teacher’s Name: _______________________________
Grade/Department: _____________________
Please have each item checked and initialed (even if it’s not applicable) by the person whose TITLE
.
.
appears on the left side in each section
When complete, turn in to principal
ITEM
CHECKED OFF BY
MEMO
A. LIBRARIAN
1). AV Equipment, Library Books/Videos, Other,
Returned
B. SECRETARY/PRINCIPAL
1). Room Repair Requests
2). Updated Student Debt List
3). Pay Office Debts (Lunch, etc.)
4). Textbook Inventory
5). Room & Equipment Inventory
6). Receipt Books
7). Supplies/Equipment Requisitions
8). Textbook Requisitions
9). Summer Address Forms
10). Purchase Order sign off
11). Time Sheets; Time/leave record verif.
12). Keys - Labeled and returned
13). Submit Grade Book
14.) Student Assessment Portfolios up-dated and
completed
15.) Report cards submitted for mailing
16.) Textbooks boxed and tagged ready for moving
17.) List of Repairs submitted
18.) Reflection on PDP
Note: School Board Policy requires that all Staff turn in school keys at the end of the school year.
NO EXCEPTIONS PLEASE
C. COUNSELOR
1). Report Cards Submitted
2). Grades/Attendance Posted in Cum. Files
3). List of Student Retentions
_______________________________________
________________________
Principal’s Signature
Date
ALL SPECIAL ED. STAFF MUST CHECK OUT WITH THE SPECIAL EDUCATION
COORDINATOR BEFORE YOU LEAVE FOR SUMMER BREAK!!!