Monthly Check-In

1.	Student name*

2.	Grade*

3.	I have reviewed my child's work. I am aware that they are:* Select no more than 1.
	Passing    Failing    Combination

4.	I know my child is:* Select no more than 1.
	On target    Ahead    Behind

5.	Comments (optional)

6.	Parent / guardian name*

7.	Today's date*
	mm/dd/yyyy