PATERSON PUBLIC SCHOOLS
33 & 35 CHURCH STREET
PATERSON, NEW JERSEY 07505
POSSIBLE RETENTION FORM
Teacher:
Grade:
Student:
Last Name
First Name
Explanation for recommendation of possible retention:
Subject
1st MP
2nd MP
3rd MP
4th MP (Prospective)
Mathematics
Language Arts / Literacy
Science
Social Studies
Work & Study Habits
Social Responsibilities
Other (
)
Comments:
If the student in question was previously retained list the grades below.
PLEASE KEEP A COPY OF THIS COMPLETED FORM IN YOUR RECORDS.