Department Chair Time Sheet

Year: _________

Date: _________

Place an "X" in the box next to each item that applies to you and return to Curriculum Director for payment.

Have provided the Curriculum Director with the following:

	A signed contract with my principal's signature
	Pre-test scores for my department
	STAR test scores for Sept to Dec-Jan (if applicable)
	TAKS and/or EOC At-Risk List for my department
	Needs Assessment for my department
	Scope & Sequence of Curriculum Calendar for each grade
	Verification of all teacher's lesson plans in correct format on Outlook in my department
	Other (specify):

Chair Person's Signature: _________________ Date: _________

Principal's Signature: __________________ Date: _________

Approval for payment:

Curriculum Director's Signature: _______________ Date: __________