Site Visit Report #2- SR PK - ELEPS

BRIDGEPORT SCHOOL DISTRICT

EARLY CHILDHOOD DEPARTMENT - PREKINDERGARTEN PROGRAM

SITE VISIT REPORT #2: SCHOOL READINESS-PK SITE

LEARNING EXPERIENCE PLAN

[December-February]

Name - BPS Representative (preparer of this report)*

First Name

Last Name

Email - BPS Representative*

Confirm Email - BPS Representative *

Date and Time of Site Visit*

School Readiness Site*

Name - Site Coordinator*

First Name

Last Name

Email - Site Coordinator*

Confirm Email - Site Coordinator *

TEACHER'S NAME*

First Name

Last Name

Class Number*

Email - Teacher*

Signature of BPS Representative*

Use your mouse or finger to draw your signature above

Attestation of Teacher*

I have read this report.

Signature of Teacher*

Use your mouse or finger to draw your signature above