Title Page

  • Conducted on

  • Prepared by

School Name

  • School Name

  • Start Time

  • End Time

  • School Personnel Involved

2018-2019 Authorizer Assurances Site Visit items to review

  • Authorizer Assurances Items to Review

Comments and Documentation

  • Other Items Discussed

  • Stakeholder Data to be Collected

  • Stakeholder Interviews

  • Technical Assistance and Guidance Provided

  • Areas of Strength

Areas for Improvement Identified This Month

  • Area for Improvement

  • Action Steps Required

  • Timeframe for completion

Follow -Up on Previously Identified Areas for Improvement

  • Area for Improvement

  • Progress of Action Steps Required:

  • Timeframe for Completion

  • Improvement Progress

Summary of Findings

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