This is the sheet I use to write down student homework each week. I copy it double sided. Students can write the homework down themselves, or you can write it in for them and print/copy it (this may be depending on grade level of the students).
I have a sample of how you can write in the subject boxes ("Title" for "Reading"), and there are subjects listed as "other" than can be edited for your needs.
This form is editable. Enjoy!
-Graphic from http://mycutegraphics.com
-Fonts: Cutie Pop, Cinnamon Cake, & Connected from http://dafont.com