Academic Improvement Contract

    

Student Name: ___________________________ Date: ___________________

Teacher: ________________________________ Class: __________________

Email: __________________________________ ID #: ___________________

Address: ________________________________ Phone: __________________

Current GPA: __________________________________

Current Class Ranking: ________________________

Current Academic Status: ______________________

Problem Area(s): ______________________________________________________

Specifics of Problem(s): ______________________________________________

Plan for Improvement: _________________________________________________

Services and Resources: _______________________________________________

Academic Goals: _______________________________________________________

Date Implemented: _____________________________

First Check-In: _______________________________

Second Check-In: ______________________________

Final Date: ___________________________________

If Student's academic behavior/grades have not improved by the final date, the following punishments/restrictions will apply: ____________________________________________________________

Student's Signature: _____________________________________

Teacher's Signature: _____________________________________

Parent's Signature: ______________________________________

Date: _________________________

Index of Printable Contract Examples