Fillable Sign-In Form (Los Angeles Unified School District)

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Sign-In Form (Los Angeles Unified School District)

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File type: PDF

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Student Support and Progress Team
Sign-In Form
No. Print Name Signature Title/Role
1 Administrator/Designee
2 General Education Teacher
3 Instructional Specialist
4
Intervention/
Healthy Start Coordinator
5 EL Designee
6 Other*:
7 Other:
8 Other:
9 Other:
10 Other:
11 Other:
12 Other:
Instructions: Maintain a record of the Sign-In Form on file at the school site for a minimum of five years.
* Additional members who should participate in meetings concerning EL students are the TSP Advisor/Instructional Specialist, the Title III
Coach, and the student’s ELD or LTEL teacher.
Meeting Purpose:
Meeting Date:
Student Name:
Student ID:
Teacher/Counselor:
Grade:
Subject (Secondary):
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Sign-In Form (Los Angeles Unified School District)

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Completed 14 September 2021

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