Homework Report Template

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Homework Report
Date: ______________________
Dear Mr. / Mrs. /Ms. __________________________________________________________________
This is to inform you that ______________________________________________________________
did not complete the assigned homework for _______________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
in _________________________________________________________________________________
Explanation / reason given by the student _________________________________________________
___________________________________________________________________________________
Please acknowledge this note with your signature and return it to me.
You may reach me at (Email / Phone) _____________________________________________________
for any clarifications.
Comments / Notes: ____________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Signature of the teacher: ____________________________________ Date: ____________________
Signature of the Parent: _____________________________________ Date: ____________________

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