This is a simple reflection form that you can use for your students who need to prove that they have read a book to count towards their reading goal.

For example: My students have to finish a book every 2 weeks, 6 per grading period. Once they finish a book, they fill out this form and turn it in to me to determine if they have received fill credit.

I will be happy to make any edits necessary to fit your needs. Just send me a message :)