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Northern York County School District Alternative Instruction Program
Goal Sheet
Student Name: ____________________________________________ Date:____________________
Behavioral Goal:
___________________________________________________________________________________
Academic Goal:
___________________________________________________________________________________
Attendance Goal:
____________________________________________________________________________________
Personal Goal:
_____________________________________________________________________________________
Student Signature: _____________________________________ Date: __________________
Parent/Guardian Signature:______________________________ Date: __________________
NYCSD Supervisor Signature: ____________________________ Date: __________________