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.
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Voc. Class & Tutored Class (if different) |
Year In School |
Student’s Name |
Elig. Spec. Pop. |
4th 6wk Grade |
5th 6wk Grade |
6th 6wk Grade |
Final Exam Grade |
Second Semester Grade |
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Complete and mail to: Jean Freeburn
2000 Pioneer Parkway, Suite 19C
Peoria, IL 61615
309) 693-7373