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Assessment Report

Assessment Report

Teacher's Observation & Recommendation Report

Assessment Date *

Assessment Time *

Champion's Name *

Parent's Name *

Contact Number *

Parent's Email *

School Name *

Grade *

Please select Grade that the student will be attending for the school year 2020-21.

Subject *

Teacher's Name *

Teacher's Observation *

Please include as much detail as possible for the parents' understanding.

Teacher's Recommendations

Please recommend an academic plan which is in the best interest of the student's success.

1-1 Tutoring (Math) *

Please recommend an academic plan which is in the best interest of the student's success.

1-1 Tutoring (Reading & Writing) *

Please recommend an academic plan which is in the best interest of the student's success.

Homework Help *

Please recommend an academic plan which is in the best interest of the student's success.

Math Advancement *

Please recommend an academic plan which is in the best interest of the student's success.

Rate Overall Student's Performance (MATH)

Rating: 5

Please rate based on their current level of understanding.
0 being low understanding and 10 being high understanding.

Rate Overall Student's Performance (READING & WRITING))

Rating: 5

Please rate based on their current level of understanding.
0 being low understanding and 10 being high understanding.

Teacher's Signature *

I do Hereby agree all the above information are true and correct.

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