Missing Assignment Log (grading period)

The listed assignments below are currently missing and are marked as a zero in the gradebook.
The last day I will accept missing work is _____________

Student Name: _______________________________

Date written: ______________ Date student received: ____________

1. ____________________________
8. ____________________________
2. ____________________________
9. ____________________________
3. ____________________________
10. ____________________________
4. ____________________________
11. ____________________________
5. ____________________________
12. ____________________________
6. ____________________________
13. ____________________________
7. ____________________________
14. ____________________________

Student acknowledgement

Reason for Missing Assignments (check all that apply)

❏ I was absent when we did this assignment (and didn’t come get my makeup work!)
❏ I chose not to do the assignment
❏ I forgot to finish it at home or left it at home (only allowed for Homework assignments)
❏ Other- Explain _____________________________________________________________________________________________
_____________________________________________________________________________________________________________

What will you do in the future to prevent another missing assignment in class?

Student Signature ________________________________________________________

IF YOU BRING THIS PAPER BACK COMPLETED AND SIGNED BY YOUR PARENT, I
WILL GIVE YOU A FREE 100% ON ONE OF THE ASSIGNMENTS YOU ARE MISSING!

Parent Acknowledgement
Hello, parent/guardian,
This is the last notification you will receive that your child is failing...
❏ For the quarter (_________________)
❏ For the Semester

On the front of this page lists every single thing your child is missing. Missing assignments are the main
failing. All of these assignments, your child has received adequate class time to complete. Most of these
assignments I allow them to take home to complete, if needed. Not only have they had adequate class
time, time in advisory, home time, ZAP time, but they also received all of class today (12/7) to complete
any missing work.

Please sign in acknowledging that you know your child is failing and that they have this many class
assignments missing. I would also like to set up a conference with you. Please contact me on my cell
phone (940)368-3561 to set up a conference. By refusing to call, you are declining a conference.

Thank you, and I look forward to seeing your child meet their potential,
Your name
Your email
Your teaching position

Parent Name ____________________________ relationship to student _________

I acknowledge my child is failing, because of missing work.

Parent Signature ______________________________________