Parent/teacher Conference Record

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Parent/Teacher Conference Record
Teacher:____________________ Classroom ID#:_________________ Date:______________
Student:_____________________________ Parent’s Name:_____________________________
Information to be discussed by the teacher: __________________________________________
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Information discussed by parent: __________________________________________________
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Summary: ____________________________________________________________________
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Teacher’s Signature
Date
Revised 11/12
A division of Cumberland Community Action Program, Inc. (CCAP)

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