I created this slip for students who have problems arriving on time, staying on-task and completing in class work.
A staff member will fill out this form (This is a .doc. You can add/delete items in the document) with the student's name, parent/guardian's name, and fill out the student's classes, and teacher name and contact number. Students will be aware that the parent can call the teacher at any time, and the teacher can call the parent at any time because the numbers are clearly listed on the sheet. On the bottom of the sheet, there is a space for the check in/check out adviser's name, and for a parent/guardian's signature. At the end of the day, the student should report to the adviser and discuss the day's progress (keep it positive). Parent will see the slip, look for "forward progress", discuss with their child what went right/wrong, and return the slip back to the adviser. The adviser should keep the slips and keep track of the student's progress. Keep an eye out for problem class periods, and time of day variations. Does the student take medication during the day? Or perhaps the student is sleepy before or after lunch? Use the slip to inform you on possible causes of student behavior.
Each period teacher (I have 8 periods listed) will be asked to identify if the student was on-task, completed in-class work, if student has homework, and the current grade in class. They will also be able to indicate the percentage (25%, 50%, 75%,100%) of on-task, and in-class work completion. The overall goal is to identify the specific problem behavior and to move the student from 25% to 75-100%. On the backside of the slip, there is a space for teachers to write a brief note to the parent/guardian. I also created a spot for general info for parents/guardians- days off, final exam days, and when grades close.
There are two check in/check out slips on one sheet. You can type in the student's name, photo copy enough for the week or month, and print it double-sided.
I have a few sample entries on the slip. Again, this is a .doc, so you can delete or change this document to suit your needs.