Self – Monitoring Assignment Checklist
NAME_________________________________________. DATE_____________________
1.One Academic Goal that I have for MARKING PERIOD #_________ is: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
2. Potential Obstacles that can get in my way are:
1._____________________________________________________________________________
2._____________________________________________________________________________
3. _____________________________________________________________________
3. My plan to help achieve this goal:
1._____________________________________________________________________________
2. __________________________________________________________________
3. __________________________________________________________________
Executive Functioning Skills
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SCORE 0-5 (Zero not at all; 5 perfect!)
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I check Schoology for assignments.
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I have attended every day this week.
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I ask for help when needed.
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I handed in all assignments.
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