Grades K and 4-6
Teacher - Pupil Ratio
Teacher's name Grade School
Employee ID number School month
- Complete each line for the 20-day school month. If no excess pupil for a given day, report "0."
- If teacher is "Absent Without Pay," report in pupil column "ABS."
- Submit to Accounting Department with the payroll at the end of the school month.
# of excess # of instructional
pupils per periods, each
Date day school day No Maximum enrollment for:
Excess = No. of pupils enrolled above:
Grades 4-6 25
Grades 1-3 0
Grades 4-6 3
Teacher's signature / Date
Principal's signature / Date
Reproduce on green paper only. Revised 9/07