Teacher To Substitute Teacher Form

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Teacher: Date: _____________________

 Enclosed you will find a lesson plan, seating chart, and ___________________________
__________________________________________________________________________.

 Names of dependable students each hour are:


1. _________________________________________________________________
2. _________________________________________________________________
3. _________________________________________________________________
4. _________________________________________________________________
5. _________________________________________________________________
6. _________________________________________________________________
7. _________________________________________________________________

 Medical or behavioral issues you need to be aware of are: _______________________


__________________________________________________________________________.

 Students who need to leave for special classes are: ____________________________


__________________________________________________________________________.

 Rules / discipline policies specific to my classroom are: _________________________


_________________________________________________________________________ .

 If you need assistance feel free to ask: __________________________________ who is in room


number _______________.

 In case of emergency drill my classroom evacuation plan is located: ______________


__________________________________________________________________________
Other notations:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Thank you,

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