End-Of-The-Year Check-Out Form

Direct-Pay ROP Teacher Name:

END-OF-THE-YEAR CHECK-OUT FORM

2014-2015

Section A: Summary

1. 2 + 2 College Credit by Exam Summary

Please provide a summary of the 2+2 articulation you completed this year with the following information:

ROP Course Name:

Name of College Course:

Complete the information below for each student who passed the articulation. Use additional page if necessary.

Student Name / High School / Grade Received on College Exam if Known

2. Leadership and/or Student Organization:Name of student organization:

Complete the activity list below or attach a calendar of activities describing your significant leadership activities.

Date of Activity / Activity / Date of Activity / Activity

3. Business/Industry/Community Integration:

Complete the activity lists below. Use additional page if necessary.

Classroom Connections
Provided to Your Students
(i.e.: field trips, guest speakers) / Date of Activity / Description of Activity / Field Trip or Guest Speaker Contact Person & Telephone Number

Community Activities

(i.e.: public displays, presentation @ civic organizations) / Date of Activity / Description of Activity / How does this impact your ROP Program?

4. Program Promotion:

Complete the activity lists below. Use additional page if necessary.

Date of Activity / School Activity / Date of Activity / School Activity

5. Community Contact/Required Activities:

Check those boxes you participated in.

\\mcoeapps03\ndrive\ROP\Mary Whited\End of Year\14-15\Direct-Pay END-OF-THE-YEAR SUMMARY CHECK-OUT-14-15.doc

Fall In-service

Curriculum Meeting(s)

Advisory Committee Meeting

Award of Excellence

Career Industry Day Planning Meeting(s)

Career Industry Day

CTE Awareness Day(s)

School Open House

Report Card Night

Back to School Night

Monthly Teacher Meetings

College Articulation Meetings

Student Leadership Activities (not paid on

stipend)

New Site Development (Community Classroom)

Conference

Professional Membership Meetings

Follow-up Report

Other

\\mcoeapps03\ndrive\ROP\Mary Whited\End of Year\14-15\Direct-Pay END-OF-THE-YEAR SUMMARY CHECK-OUT-14-15.doc

I verify that I have completed the required Community Contact hours for this school year.

______

Teacher SignatureDate

CAREER TECHNICIANS

Section B: Attachments INITIALS

1.Attach Copy of your Program Safety Test(California Labor Law - Community Classroom Teachers ONLY)______

2.Attach sample of completed student time card

Education Code § CCR Title 5, Sec.10087(d) - (Community Classroom Teachers ONLY)______

3.Attach copy of a Student Employability Portfolio and a Writing Sample ______

4.ROP Student Certificate of Excellence –Attach sample of 1 completed certificate______

(NOTE:Career Technicians must verify teachers have completed certificates for all eligible students)

CAREER TECHNICIANS

Section C: Completion of Required ItemsINITIALS

1. Instructional Planning Calendar (formerly the Pre-Planner) (verify through Charlotte Klock)______

2. Tri-Weekly Reports (Community Classroom teachers ONLY – verify through Charlotte Klock)

Education Code § CCR Title 5, Sec.10088, and CCR Title 5, Sec.10083______

3. List of Certificate of Excellence recipients (verify through Charlotte Klock)______

Comments: ______

______

Completed By: ______

Career Technician Signature Date Completed

\\mcoeapps03\ndrive\ROP\Mary Whited\End of Year\14-15\Direct-Pay END-OF-THE-YEAR SUMMARY CHECK-OUT-14-15.doc