REVIEW FORM

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PORTFOLIO REVIEW FORM #2 - 2021-2022 SCHOOL YEAR

STUDENT'S INFORMATION:

* Indicates required field

STUDENT'S NAME *

First

Last

STUDENT'S AGE *

STUDENT'S GRADE LEVEL *

PARENT/GUARDIAN FULL NAME *

PARENT/GUARDIAN EMAIL *

PARENT/GUARDIAN PHONE # *

ACADEMIC SUBJECTS:

ENGLISH - Please list materials/resources used. *

Did Student Successfully Complete Assignments? *

YES NO

MATHEMATICS - Please list materials/resources used *

Did Student Successfully Complete Assignments? *

YES NO

SCIENCE - Please list materials/resource used. *

Did Student Successfully Complete Assignments? *

YES NO

SOCIAL STUDIES - Please list materials/resources used. *

Did Student Successfully Complete Assignments? *

YES NO

HEALTH - Please list materials/resources used. *

Did Student Successfully Complete Assignments? *

YES NO

PHYSICAL EDUCATION - Please list activity / sports / equipment used. *

Did Student Successfully Complete Activity? *

YES NO

ARTS - Include Coloring / Crafts / Dance / Drawing / Musical Instruments / Singing / Painting *

Did Student Complete Projects? *

YES NO

ELECTIVES - List any additional classes (home economics / life skills ) and field trips taken. *

COMMENTS OR CONCERNS:

Please share any special achievements the student made and/or concerns you may have. *

nonpublic entity representative:

I Have Met With A BITPHSEM Representative To Discuss / Review The Student's Work. (Please Select Who) *

Gail Moss Marcus Moss

digital signature

PLEASE NOTE: I understand that typing in my name and submitting this form will be interpreted that the above information is true to the best of my knowledge and that I AUTHORIZED this submission to BELIEVING IN THE POWER HOME SCHOOL EDUCATION MINISTRY.

FULL NAME *

DATE *

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