Fillable Impact Weekly Progress Report

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Impact Weekly Progress Report

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If you have any questions or concerns, please feel free to email or call the tracker at the address/number listed above.
In-home Monitoring Placement and Community Tracking (IMPACT)
IMPACT Tracker: PH: 423-7270/Fax: 286-3354
Email: impact.tracker@polkcountyiowa.gov
WEEKLY PROGRESS REPORT
Please complete every Friday and FAX or email to the IMPACT office.
SUBJECT: TEACHER:
STUDENTS NAME: WEEK OF:
Student’s behavioral issues exhibited this week were:
Specific areas of concern this week were:
Assignment Completion:
Degree of effort teacher perceives student to be making this week:
Amount of disruptive behavior(s) student exhibited this week:
Amount of compliance with authority figures exhibited this week:
I would characterize this student’s peer relationships this week as:
Comments:
Current Grade:
100%
100%
100%
100%
Positive
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Impact Weekly Progress Report

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Completed 26 June 2020

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