Appendix B. Paperwork templates
These templates are referred to in “Twelve rules for arranging your classroom” and Templates to help you with paperwork.
| Teacher: | ||||
|---|---|---|---|---|
| Student Signature | Book Number | Date signed out | Date signed in | Teacher Signature |
| Indicates responsibility for any books signed out. The book is the student’s responsibility until the teacher has initialed the column indicating the book’s return. | Indicates the book has been returned. | |||
| Teacher: Room number: | ||||
|---|---|---|---|---|
| Date | Student Name | Phone Number | Description of Call | Additional Notes |
| Include in this column who initiated the call and the name of the person with whom you spoke. | ||||
| Teacher: Room number: | ||||
|---|---|---|---|---|
| Date | Student Name | Description of Behavior | Consequence | Additional Notes |
| If a phone call, include number. | ||||
| Teacher: Room number: | ||||
|---|---|---|---|---|
| Date | Student Name | Brief Description | Action Taken | Additional Notes |
| Phone records, including positive and negative calls, and discipline notes. | If a phone call, include number. | |||
Sub plan
Substitute Plans for:
Date(s):
Introduction
Thank you for covering my class today. I have included everything you should need below. Please complete the “substitute feedback form” at the end of the day to provide feedback about the students’ performance and to assist me as I work to improve my sub folder!
| Time Period/Block | Description of Activity (Title of Course, Duties, Lunch, Planning Period, etc.) | Location (Room Number or area of the building) |
|---|---|---|
Attached Items
- Lesson Plan and Handouts (Subs will have an easier time if you insist that all work be collected at the end of class. Students then know they cannot play during class and complete the work later at home.)
- Seating Charts
- Class lists:
- Please take attendance in each class.
- If attendance must be submitted to the office, you will find notes about that process written here:
Other Notes
(May include information about emergency procedures, special events, recommended “student helpers” in each class, etc. I always write a note asking subs to tell my students “Your teacher told me how great you are and that she hopes you live up to that reputation today!”)
Lesson Plan
Objectives
Materials and their location
Things to do before class begins
Lesson
Seating Chart
Include a copy or simply let the sub know where a copy is filed in the room.
Class Lists
Xerox a copy of your roll book after the names are in it, but before any other notations are made. Some teachers put a star next to one or two students the sub can ask for help in case something needs to be delivered to the office, etc.
Substitute Feedback Form
Please complete this form and return it to the teacher along with other paperwork. Thank you!
Comments about individual classes
Amount of work completed, behavior, etc.
Comments about the sub plans
Were the lesson plans clear? Is there anything else that should be included in the folder?
ISS Plan
ISS Plans for:
Teacher’s e-mail address or room number:
Introduction
In situations where my students are sent to ISS without enough notice for me to prepare lesson packets for them, they should complete the assignments outlined below. They should turn completed work in to me and pick up any additional work they missed.
Please record the name of the student, the date and the handout you assigned them to complete and deliver that information via e-mail or through my box in the office.
| Incident Number | Objectives | Assignment |
|---|---|---|
| First incident | Complete Handout 1 (in attached folder) | |
| Second incident | Complete Handout 2 (in attached folder) | |
| Third incident | Complete Handout 3 (in attached folder) | |
| Fourth incident | Complete Handout 4 (in attached folder) |
Note to the teacher
Note for teachers submitting the ISS plans (delete this section before submitting the plans):
Since these lessons are for emergency purposes only, I make sure they are very simple to create, maintain and grade. For example, when I am teaching history classes, my emergency ISS plans are the same for all my courses (World History, American History, etc.) I simply xerox dozens of individuals’ biographies and each time a student is sent to ISS they work on summarizing the next biography until I can arrange a packet from the day’s actual lesson.
Please note that it is important to have these plans even if you never send students to ISS. In many schools, other teachers can send them for the day and the students will miss your class. You may not find out about their ISS location until later. This work is to ensure that they learn something during that time instead of wasting the day.
IEP Notebook
| Teacher’s Name: | ||
|---|---|---|
| Class/Period | Student Name | Modifications Needed |
| Keep this information confidential! | ||
| Teacher’s Name: Student Name: Class Period: | ||
|---|---|---|
| Date | Modification Provided | Student Signature |
| Keep this information confidential! Use a separate page for each student. | ||
Note to the teacher
Many schools are now requiring that student provide signatures as they receive modifications in order to prevent challenges to grades at the end of the year. (Challengers may claim you did not provide separate settings for tests, copies of overheads or other things listed on a student’s IEP.). If your school requires this, please be sensitive as you provide the modifications and gather the initials. Many students want to avoid the label that comes with completing IEP activities. Some teachers address this by creating a classroom culture that celebrates all ways of learning and these teachers are very adept at preventing insecurities. Other teachers are simply more discrete as they work with students who have IEP’s. Determine which approach your philosophy dictates and develop a system that works for you and your students!
| Teacher’s Name: Date: | |||
|---|---|---|---|
| Student Name | Locker Number | Lock Combination | Teacher Signature |
| Student signatures on this page indicate that they agree to learn about and comply with school policies regarding lockers. | |||



