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Pal Record Form 2018-2019
PAL and Teacher will fill this form out each month separately. The purpose of this survey is to let the PAL know what is expected of them on a monthly basis as well as to keep a record of PAL activity and to aid in quarterly grades.
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* Indicates required question
Name: Teachers - please put your pal's name in parentheses.
*
Your answer
Date
*
MM
/
DD
/
YYYY
What percent of effort did you give the teacher and class this month?
*
100%
90% - 80%
80% - 70%
70% or lower
Did you complete all requests in a timely and neat manner?
*
yes
no
When the teacher did not have a specific task for you to complete did you look for tasks to complete on your own? Ex: Dusting, organizing, cleaning up, working with students, etc.
*
yes
no
Did you write a one page essay about your pal experience and have you turned it into your teacher?
*
Yes
No
When did you turn your one page essay in?
MM
/
DD
/
YYYY
Give a short summary of information you included in your essay.
*
Your answer
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