Sample Communication Log Template Page 2
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4Documentation Log
COVER SHEET
Teacher’s Name_______________________________________School Year ______________
Administrator’s Name __________________________________________________________
Teacher Directions: Place required items in order behind this cover sheet and staple in the upper
left hand corner. Submit the packet to your administrator 10 calendar days before the summative
evaluation meeting.
Administrator Directions: Review the materials stapled to the cover sheet. Check off that each
required item is present and make any notes relating to a particular item on this cover sheet.
Check if
Required Item
Administrator’s Notes
present
Goal Setting for Learner/Program
Progress Form and accompanying
documentation
Communication Log
Professional Development Log
Reviewed by:
Administrator’s Signature _________________________________________________________ Date ______________________
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