Student Consulation Log2015-2016

Student: _________________________________________________________

Date: _______________________________ Time: _____________________

Offense/Problem:_________________________________________________________________________________________________________________________________________________________________

Reason:__________________________________________________________________________________________________________________________________________________________________________

Solution: ________________________________________________________________________________________________________________________________________________________________________________

Student: _________________________________________________________

Date: _______________________________ Time: _____________________

Offense/Problem:_________________________________________________________________________________________________________________________________________________________________

Reason:__________________________________________________________________________________________________________________________________________________________________________

Solution: ________________________________________________________________________________________________________________________________________________________________________________

Name of Parent/Guardian: _______________________________ Signature: ________________

Student: _________________________________________________________

Date: _______________________________ Time: _____________________

Offense/Problem:_________________________________________________________________________________________________________________________________________________________________

Reason:__________________________________________________________________________________________________________________________________________________________________________

Solution: ________________________________________________________________________________________________________________________________________________________________________________

Name of Parent/Guardian: _______________________________ Signature: ________________

Attendance of Meeting Quarterly

2015-2016

No.

Name of Parent Name of Student Signature Date Remarks

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