CARL PERKINS FINAL REPORT INFORMATION

 

School:

 

Program:  

 

Report Completed By: 

 

Date:

 

Directions:  Complete the form noting:  (a) the class, (b) year, (c) student’s name – for tutors, these will be the students recorded in the tutor’s daily log, (d) eligible special population,         (e) grade in the appropriate column.

 

Voc. Class &

Tutored Class

(if different)

Year In

School

Student’s Name

Elig.

Spec.

Pop.

1st

6wk

Grade

2nd

6wk

Grade

3rd

6wk

Grade

Final

Exam

Grade

First

Semester

Grade

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Complete and mail to:              Jean Freeburn

                                                2000 Pioneer Parkway, Suite 19C

                                                Peoria, IL  61615

309) 693-7373