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4R HW Assist Class Entry Template

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Last updated almost 8 years ago
23 questions
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Question 1
1.

Question 2
2.

Date of Class? (Example 12/01/18)

Question 3
3.

Entry Date? (Example 12/01/18)

Question 4
4.

Question 5
5.

Question 6
6.

Question 7
7.

Subject Matter / Skill Taught?

Question 8
8.

Question 9
9.

Question 10
10.

Question 11
11.

Question 12
12.

Question 13
13.

How Did Your Teacher Respond?

Question 14
14.

Question 15
15.

If "Yes", What Was It?

Question 16
16.

Question 17
17.

Question 18
18.

Question 19
19.

Assignment?

Question 20
20.

Due Date and Time:

Question 21
21.

Question 22
22.

Annoucements or Comments to Record:

Question 23
23.

Your Study / Work Plan:

Day of the Week?
Mon
Tue
Wed
Thu
Fri
Period?
1
2
3
4
5
6
7
Attendance:
In class entire period
Part of period
Late
Did not attend
Instructor:
Assigned teacher
Substitute
Other
Notes:
Took Notes
Notes Were Given
Notes on Portal
Instruction Type:
Lecture / Speaker
Computer
Other
Instruction Resource:
Worksheet Provided
Textbook Referenced
Other (explain in comments)
Understanding of Subject Matter / Skill
Completely
Some of it
Very Little
Not At All
Did You Tell The Teacher You Did Not Understand?
N / A
Yes
No
Was There An In-Class Activity?
Yes
No
Did You Finish The Activity In Class?
Yes
No
Assigned To Complete As Homework
Location Of The Activity?
Turned In To Teacher
Kept / Filed
Was Homework Assigned?
Yes
No
How?
Turn in at class
Email to instructor
Drob-box / Portal
Other (explain in comments)