Study Skills / Study Hall

Name_____________________________ Period _____

Study hall/Study skills is a quiet working environment that offers you time to get head (or caught up) on your schoolwork. These check-ins are required to help you be successful in your
classes by staying organized and aware of whats expected of you in your classes. For each study hall period fill in the following: the date, at least 4
classes for which you have work assigned, assignments for those classes, yes or no for whether you completed the work in Study Hall and your grade in that class (%).

Date
Class

Assignment

Complete
(Y/N)

Grade
(%)

Notebook Planner
Check
Check
Complete

Needs work

Date
Class

Assignment

Complete
(Y/N)

Grade
(%)

Notebook Planner
Check
Check
Complete

Needs work

Date
Class

Assignment

Complete
(Y/N)

Grade
(%)

Notebook Planner
Check
Check
Complete

Needs work

On Task
(Y/N)
Student
Perspective

Teacher
Perspective

On Task
(Y/N)
Student
Perspective

Teacher
Perspective

On Task
(Y/N)
Student
Perspective

Teacher
Perspective

Date

Class

Assignment

Complete
(Y/N)

Grade
(%)

Notebook Planner
Check
Check
Complete

Needs work

Date

Class

Assignment

Complete
(Y/N)

Grade
(%)

Notebook Planner
Check
Check
Complete

Needs work

Date

Class

Assignment

Complete
(Y/N)

Grade
(%)

Notebook Planner
Check
Check
Complete

Needs work

On Task
(Y/N)
Student
Perspective

Teacher
Perspective

On Task
(Y/N)
Student
Perspective

Teacher
Perspective

On Task
(Y/N)
Student
Perspective

Teacher
Perspective

Parent or guardian: Please go over this check-in sheet with your student, and have a conversation about how school is going. Please sign and date
the form below. Remember, I can be reached via email at: sshoemaker@chicousd.org.
Parent or Guardian Name; Print: _____________________________________ Sign __________________________________ Date ___________