In IMSA for Teachers & Students of Illinois:

Coordinators' Weekly Feedback form

Name:
E-mail:
School:
Unit:
Month:
Year:

Sessions

Date	Contact Hours	Attendance	Activity / Lesson / Notes

Class List Changes

Students Added (Mail all required forms to IMSA)	Students Removed

Public Relations Activities / Parent Meetings / Administrator Contacts / Presentations / Etc.

Special News or Information / Curriculum Extensions / Field Trips / Presenters in Class / Awards or Recognition of Teachers or Students / Etc.

Questions / Concerns / Problems / Positive Feedback