Student Contract For Academic Improvement Form printable pdf download

Student Contract For Academic Improvement Form

Student Contract for Academic Improvement

Student Name________________________________

Class________________________________________

Teacher_____________________________________

Date________________________________________

Nature of Concern:

____Attendance

____Failed exam ____Missed exam ____Behavior

____Missing Homework

____Other:__________________

Current Course Grade: ______

Grade I would like to get: ______

Barriers to My Academic Success:

____Poor time management

____Poor grades on tests in spite of hours spent preparing

____Lack of preparation

____ Incomplete class notes

____Not asking questions when I don’t understand

____Poor attendance

____Personal Concerns

____Other:______________________

Course of Action:

Service

Resource

Date

Tutoring

After School Program

Daily check sheet

Through Migrant Services

Health Consultation School Nurse

Other

Dates by which I will implement the plan:__________________

I hereby agree to abide by the terms of this plan:

Student Signature:____________________________________

Date:________________

Migrant Signature:____________________________________

Date:_______________

Parent(s) Signature:___________________________________

Date:________________

Student Contract For Academic Improvement Form