Sample Parent / Teacher Conference Form
Parent / Teacher Conference Form
Note: Parent/Teacher conferences may be used as an intervention prior to referral to the SAP or recommended as part of a SAP action plan. This sample form offers a guide through a documented conference discussion.
School Name: _______________________________________ Date: ________________
Student: ____________________________________________ Grade: ________________
Parent/Caregiver: ____________________________________ Language: _____________
Parent Contact Information (telephone #): _____________________________________________
Teacher(s) participating in conference (name and subject taught):
1) ________________________________________________________________________________
2) _______________________________________________________________________________
3) _______________________________________________________________________________
|Strengths? |Concerns? |Ideas for parent/student? |
|Asks for help |Student needs to: |8-10 hrs of sleep; alarm clock |
|Attends class every day |Attend school every day |Attend After-School tutorials |
|Comes prepared with materials |Be on time to class |Check homework log daily |
|Comes to class on time |Bring all materials |Clean up backpack/locker |
|Completes homework |Remain seated during class |Daily Progress Report |
|Does well on tests |Complete class work |Enroll in an after-school program |
|Gets along with other students |Participate appropriately |Get health check-up & follow up |
|Has positive attitude |Communicate respectfully |Get phone #s of study buddies |
|Is respectful towards adults |Help others as needed |Healthy breakfast & lunch daily |
|Listens well |Be positive towards learning |Obtain counseling: academic/ social/emotional |
|Participates in class |Pay attention, focus |Obtain/meet with adult mentor |
|Solves problems |Complete homework |Reward small improvements |
|Thinks creatively |Other: ________________________ |Student Attendance Review Team |
|Other: |________________________ |Student Success Team |
|_____________________ |________________________ |Weekly Progress Report |
| | |Other: |
| | |_______________________________ |
Comments/Notes
______________________________________________________________________________________________________________________________________________________
Signatures
Parent/Caregiver: _______________________________ Teacher(s): ___________________________________
Student: _______________________________________ Date: _______________________________________
SFUSD Student Support Services Department – SAP Manual August 2009
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