SAMPLE

XYZ Charter

Classroom Maintenance

Please list below any repairs that need to be made to your classroom during the summer.

Room Number: __________________ Teacher Name: _____________________________

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

XYZ Charter

Classroom Maintenance

Please list below any repairs that need to be made to your classroom during the summer.

Room Number: __________________ Teacher Name: _____________________________

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

IV. 19