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    Hall Pass Templates

    Uploaded by

    Christine Engelbrecht
    _____________________________ Assistant: _____________________________ Date: ________________________________ Date: ________________________________ Time returned: _________________________ Time returned: _________________________

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd

    Hall Pass Templates

    Uploaded by

    Christine Engelbrecht
    749 views2 pages
    _____________________________ Assistant: _____________________________ Date: ________________________________ Date: ________________________________ Time returned: _________________________ Time returned: _________________________

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

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    _____________________________ Assistant: _____________________________ Date: ________________________________ Date: ________________________________ Time returned: _________________________ Time returned: _________________________

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    749 views2 pages

    Hall Pass Templates

    Uploaded by

    Christine Engelbrecht
    _____________________________ Assistant: _____________________________ Date: ________________________________ Date: ________________________________ Time returned: _________________________ Time returned: _________________________

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 2

    HALL PASS HALL PASS

    Date: __________________ Date: __________________


    Time left: _______________ Time left: _______________
    Time returned: _______________________ Time returned: _______________________

    ______________________, has permission to go to ______________________, has permission to go to


    (student name) (student name)
    ___________________________ for assistance on: ___________________________ for assistance on:
    (sped teachers name) (sped teachers name)

    Classroom assignment: _________________________ Classroom assignment: _________________________


    ____________________________________________ ____________________________________________
    _ _
    ____________________________________________ ____________________________________________
    _ _
    Test : Test :
    ________________________________________ ________________________________________

    The following test accommodations may be used: The following test accommodations may be used:
     Use notes  Use notes
     Use book  Use book
     Ask you questions  Ask you questions
     Answer only questions ____________________  Answer only questions ____________________
     Other ___________________________________  Other ___________________________________

    I need this assignment completed and returned by: ____ I need this assignment completed and returned by: ____
    ____________________________________________ ____________________________________________
    _ _
    ____________________________________________ ____________________________________________
    _ _

    If this assignment cannot be completed and returned by If this assignment cannot be completed and returned by
    this time please let me know. this time please let me know.

    Please: Please:
     Let this student stay the entire period if needed to  Let this student stay the entire period if needed to
    complete this assignment. complete this assignment.
     Make sure this student returns to my classroom  Make sure this student returns to my classroom
    ______ minutes before the bell rings today. ______ minutes before the bell rings today.

    Thank You Thank You

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