Student Sample Work Cover Sheet Template
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1Sample Work Cover Sheet
Sample Work Cover Sheet
Staple a completed Cover Sheet to sample
Staple a completed Cover Sheet to sample
work for each course.
work for each course.
Student’s Name____________________
Student’s Name____________________
Total # of lessons/chapters in
Total # of lessons/chapters in
curriculum___________
curriculum___________
Number of lessons/chapters completed to
Number of lessons/chapters completed to
date______
date______
Reminder-All Samples are:
Reminder-All Samples are:
Dated__________
Dated__________
Corrected_______
Corrected_______
Labeled with course title_____
Labeled with course title_____
Labeled with student’s name____
Labeled with student’s name____
Check all blanks below as it applies to each
Check all blanks below as it applies to each
set of sample work.
set of sample work.
English Samples Include:
English Samples Include:
1 Grammar daily work per month_____
1 Grammar daily work per month_____
1 Grammar test____
1 Grammar test____
1 Writing sample per month____
1 Writing sample per month____
1 Literature test or daily work per month_____
1 Literature test or daily work per month_____
Math Samples Include:
Math Samples Include:
1 Daily work per month______
1 Daily work per month______
1 Test per month______
1 Test per month______
The problems, calculations, & answers are
The problems, calculations, & answers are
shown_____
shown_____
Science Samples Include:
Science Samples Include:
1 Test or daily work per month____
1 Test or daily work per month____
1 Lab exercise per month____
1 Lab exercise per month____
Total # of lab exercises in curriculum________
Total # of lab exercises in curriculum________
Social Studies Samples Include:
Social Studies Samples Include:
1 Daily work or test per month_____
1 Daily work or test per month_____
Parent Signature
Date
Parent Signature
Date
Student Signature
Date
Student Signature
Date
HSC Comments:
HSC Comments:
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Parent category: Letters