2024-2025 WHEA Elementary Pupil Services Missed Time Reporting Form
Please fill this form out each time you miss your lunch, prep, student servicing time, or you are unable to find time to complete your work.
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Name: First Last   *
Date *
MM
/
DD
/
YYYY
Position  *
Required
School *
I received my required duty free lunch period today (at least 30 minutes).
Clear selection
Reason for missing lunch:
Clear selection
I received my complete 30 minutes of daily prep.
Clear selection
Reason for missing daily prep (30 minutes per day per contract):
Clear selection
I received my minimum of 225 minutes of prep time this week. (This includes your 30 minutes per day)
Clear selection
Reason for missing weekly prep:
Clear selection
I was unable to meet with my scheduled students. Please include number of students and time missed.
Reason for missing student time: 
Clear selection
I have Case Management responsibilities to fulfill after school/on the weekend because there was not enough time to complete that work during the work day.  Please explain how much time this required outside of your school day. 
Did you alert your administrator to the missed lunch, prep, student time, or unreasonable time required to complete your required paperwork?
Clear selection
What was the response from your administrator and who did you speak with?
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