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Name _____________________

Wed

Passport to Success

Thurs Fri

Mon

Tues

Week of

Teacher Comments:

Work Habits
Begins and Completes
Work on Time
Completes and Returns
Homework
Follows Directions
Listens Well
Speaks Appropriately in
a Variety of Situations
Writes Neatly and Forms
Letters Correctly

S
S
S

S
S
S

S
S
S

S
S
S

S
S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

Citizenship Skills
Deals with Problems in
a Constructive Manner
Exhibits Self Control
Is Courteous and
Respectful to Others
Obeys School Rules
Practices Good
Sportsmanship
Respects Property
Works Well in Groups

Parent Signature/Comments:

Parent Initials

Name _____________________
Wed

Thurs

Passport to Success
Fri

Mon

Tues

Week of

Teacher Comments:

Work Habits
Begins and Completes
Work on Time
Completes and Returns
Homework
Follows Directions
Listens Well
Speaks Appropriately in
a Variety of Situations
Writes Neatly and Forms
Letters Correctly

S
S
S

S
S
S

S
S
S

S
S
S

S
S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

S
S

Citizenship Skills
Deals with Problems in a
Constructive Manner
Exhibits Self Control
Is Courteous and
Respectful to Others
Obeys School Rules
Practices Good
Sportsmanship
Respects Property
Works Well in Groups

Parent Initials

Parent Signature/Comments:

Students Percentage(95%) of Ss to keep


for the week.
5 days 62 out of 65
4 days 49 out of 52
3 days 37 out of 39
2 days 24 out of 26
1 day 12 out of 13

Students Percentage(80%) of Ss to keep


for the week.
5 days 52 out of 65
4 days 42 out of 52
3 days 31 out of 39
2 days 21 out of 26
1 day 10 out of 13

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