School Monitoring Form – Fill Out and Use This PDF

The School Monitoring Form serves as a critical tool in the Check & Connect program, developed by the Institute on Community Integration at the University of Minnesota. It meticulously tracks a student's academic performance, attendance, behavior, and communication efforts, ensuring that they are closely monitored for any signs of high risk or areas requiring intervention. Optimizing student engagement and success becomes more accessible through this methodical approach, guiding mentors in providing targeted support. Click the button below to fill out the form and embark on a journey towards educational achievement.

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School Monitoring Form PDF Details

The School Monitoring Form, as an integral part of the Check & Connect program initiated by the University of Minnesota, serves as a foundational tool in the endeavor to support high school students through their academic and behavioral challenges. This meticulously designed form takes a multifaceted approach, focusing on key areas such as academic performance, behavior, communication, and interventions, both basic and intensive. Academic data is monitored weekly, noting high-risk indicators like the number of Ds or Fs received, missing assignments, and overall grade performance across the school year. The form also tracks behavioral patterns, including tardiness, class skipping, and various types of absences, alongside instances of behavioral referrals or infractions. Importantly, it emphasizes the value of communication, documenting interactions with the student, their family, school staff, and outside agencies to create a comprehensive support network. Additionally, the form outlines interventions tailored to address and mitigate issues, ranging from sharing academic and behavioral data, facilitating goal setting, to more intense measures such as problem-solving with parents and encouraging participation in extracurricular activities. A monthly summary of case notes further allows mentors to keep a detailed record of the student's progress, ensuring a personalized and adaptive approach to each student's needs. The School Monitoring Form, by fostering consistent monitoring and intervention, plays a pivotal role in students' journey toward academic resilience and success.

Question	Answer
Form Name	School Monitoring Form
Form Length	3 pages
Fillable?	Yes
Fillable fields	407
Avg. time to fill out	27 min 23 sec
Other names	how tofill up schoomonitoring format, school monitoring format 2017 18, umn, checkandconnect

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CHECK &

Check & Connect High School Monitoring Form

CONNECT

CHECKANDCONNECT. UMN.EDU

Student:

ID #:

Grade:

School:

Mentor:

Month:

CHECK

Academic data

High Risk

Number of Ds or Fs

Number of missing assignments

Cumulative grades

1st quarter grades

2nd quarter grades

3rd quarter grades

4th quarter grades

___

Credit accrual

_____

Credits earned out of

_____

total possible

_____

GPA

Met state acad. standards (proficient)

Math:

___

Yes

___

Reading:

___

Yes

___

Writing:

___

Yes

___

Behavior Data

High Risk

Tardy

Skipping classes

Unexcused/unverified absence

Excused absence

Behavior referral/infraction

Detention

Suspension (in/out‐of‐school)

CONNECT

Communication

With student

Formal

Informal

Attempt/not reached

Left message

With family

Note home

Phone conversation

Meeting

Home visit

Communication with school staff

Communication with outside agency

Check & Connect mentors may use (and/or modify) this form with students at their site.

Basic intervention

Share "check" data

Provide regular feedback

Discuss staying in school

Problem solve about risk

Intensive intervention

Facilitate goal setting

Discuss academic progress and

supports

Discuss behavior and supports

Discuss how current choices

impact likelihood of graduating

from high school

Intensive problem solving

Intensive problem solving with

parent

Intensive problem solving with

school personnel

Facilitate participation in

community service

Facilitate participation in school or

community sponsored activities

Facilitate tutoring

Facilitate participation in small‐

group instruction for passing exit

exam

Teach problem solving skills

Teach organization and study skills

Arrange an alternative to

suspension

Other:

________________

Check & Connect mentors may use (and/or modify) this form with students at their site.

Attendance

Engagement

Investment in future

Attendance

Engagement

Investment in future

Attendance

Engagement

Investment in future

Attendance

Engagement

Investment in future

Attendance

Engagement

Investment in future

Attendance

Engagement

Investment in future

Monthly summary of case notes

Date: Notes:

Goal:

Date: Notes:

Goal:

Date: Notes:

Goal:

Date: Notes:

Goal:

Date: Notes:

Goal:

Date: Notes:

Goal:

CHECK & CONNECT

is a comprehensive student engagement intervention developed Institute on Community Integration

at the Institute on Community Integration, University of Minnesota, and implemented by

Check & Connect mentors may use (and/or modify) this form with students at their site.

School Monitoring Form – Fill Out and Use This PDF

School Monitoring Form PDF Details

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