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 APPENDIX 2


LEARNING CONTRACT

For Elementary Students at Risk of Not Meeting Grade Level Standards

 

Student’s name: ____________________________________ Year: ___________

School:_____________________________________________________

Grade:__________

Teacher(s): Schedule and conduct a meeting with the parent/guardian and student at first indication that student is at risk, no later than first 12 weeks of student attendance (see pages 1-2).

Meeting Date: _______________

Applicable indicators that student is at risk (check all that apply):

Reading/Language Arts

Mathematics
___ DRA/EDL – Grades K-4 (score: _____)
___ SDRT – Grades 5-11 (score: _____)
___ Woods and Moe – Grades 5-12
         (score: _____)
___ Teacher judgment		 ___ SAT 9 (score: _____)
___ Mathematics assessment
        (score: _____)
___ Teacher judgment

 

INTERVENTION STRATEGIES

Classroom

Date Completed

Extended Day/Year

Date Completed
v Daily Guided Reading     Extended Day Program  
v Instruction based on student need     Intersession/Summer School  
  Reading Recovery     Tutoring  
  Other:     Other:  
  Other:     Other:  

Important: Grade 1 has been established as the retention grade at the elementary level. At the end of the school year, first grade students who do not meet the promotion criteria will be retained and receive an accelerated instructional program. However, students may be retained at any grade level if they are performing significantly below grade level and have not participated in the available support and intervention opportunities as prescribed in this contract.

 

 

Student’s name: ____________________________________________ Year: ___________

School:_____________________________________________________ Grade:__________

RESPONSIBILITIES

The student will participate in the support programs planned by the teachers and parent; complete all assignments to the best of ability; ask for help when needed.

The teacher will provide instruction based on student need; suggest ways that parents can support learning at home; communicate student’s academic progress to parent on an ongoing basis.

The administrator will provide instructional leadership to support the strategies outlined in the learning contract; ensure extended learning opportunities; seek out additional resources to meet special academic needs.

The parent/guardian will ensure that the child attends school and participates in recommended extended learning programs; provide a regular time, place and supervision for homework completion; hold high expectations for the child’s success and regularly monitor his/her academic progress with school.

Students who do not participate in available extended learning opportunities and do not meet the performance criteria will be at risk of retention.

Parent/Guardian: Your signature below indicates that you understand your responsibilities, the programs and supports described for your child’s academic improvement, and the consequences.

Teacher: Your signature below indicates that you understand your responsibilities, and will report the student’s progress to the parent/guardian on an ongoing basis.

Student: Your signature below indicates that you agree to participate in the support programs that the teacher is recommending to help you become successful.

Teacher Signature

Parent/Guardian Signature

Student Signature
     

 

Teacher comments: _______________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

 

Student’s name: ____________________________________________ Year: ___________

School:_____________________________________________________ Grade:__________

 

Teacher(s): Prior to the last six weeks of school (elementary), schedule a meeting with the parent/guardian (and student, if appropriate) to discuss the student’s progress and your decision concerning promotion/retention. If the parent/guardian does not attend the meeting, ensure that they are notified in writing of your decision. (The parent/guardian must be notified of your decision two weeks prior to the last day of instruction.)

TEACHER DECISION TO PROMOTE/RETAIN

________ Promote to next grade.
________ Promote to next grade contingent upon successful completion of six weeks of summer school or intersession school. At the end of summer school or intersession school, the student will be tested. If sufficient progress has been made and the student meets the cut-off score, the student will be promoted with required support as specified below:
________ After school reading
________ Summer school/Intersession school
________ Other: ________________________________________
________ Other: ________________________________________
________ Retain with required support as specified below:
________ Accelerated first grade
________ After school reading
________ Summer school/Intersession school
________ Other: ________________________________________
________ Other: ________________________________________

 

________________________________________________________________________
Teacher’s signature                                                                    Date

________________________________________________________________________
Parent/Guardian signature                                                           Date

If not present, date of parent/student notification: __________________________

After the principal has reviewed and signed this document, a copy will be mailed to the parent.

________________________________________________________________________
Principal’s signature                                                                     Date

 

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