Salem High School Academic Recovery Plan
Student
Unit
Subject
Teacher
Plan Completion Date:
Instructions: The Academic Recovery Plan should be used when a student scores at a level 1 or beginning learner on a CUA or STAR assessment. It may also be used at any
time if a student’s performance falls below passing or that student’s demonstrated proficiency level.
Performance Improvement Plan
a. Standards/Learning targets to be recovered:
S
E
C
T
I
O
N
b. Student performance expectations.
c. List development/learning activities and/or resources to assist students with improving performance:
1
d. Additional notes/ Parent or student contacts while plan is in effect: (include dates of discussions)
Results of Academic Plan
Follow-Up Review:
S
E
C
T
I
O
N
To be completed by the teacher within a reasonable 5-7 business days after the completion of the Academic Recovery Plan (Please place an ‘X’ in the appropriate
response box and provide comments to support your selection.
Student has satisfactorily completed unit recovery requirements.
Retest Score __________
Student has not satisfactorily completed unit recovery requirements.
Retest Score __________
Teacher Comments:
Teacher Signature _________________________________ Date______________
2
Parent/Student Comments:
Parent Signature _________________________________ Date_______________