Period:
Date:
Reason For After School Assistance:
After School Tutoring Pass For Mr. McKelvey’s 9th Composition and Literature Courses
Time Checked In:_________________
Time Checked Out:_______________
Expectations: Students who need help after school are allowed to ask for Mr. McKelvey’s assistance by appointment only and it must be in advance and must be approved by parent, teacher, and collegium hall tutor. By no means is Mr. McKelvey’s classroom to be utilized as an after school wait room for parent pick up. All students who are waiting for their parents must wait in room 185 or wait in Collegium Hall. Mr. McKelvey will only work with students who have pre-arranged after school tutoring and have approved this tutoring with his or her parents. Otherwise, he or she must wait in room 185 or Collegium Hall for his or her parents to pick him or her up.
Parent Signature X____________________________________
Student Signature X____________________________________
Assignment to be assisted with:___________________________________
Teacher Signature X ___________________________________________
Date:________________________________________
Was the assignment completed? Yes______________ No __________________
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