MONTHLY EMAIL REPORT

Employee:

Date Submitted:

For Month:

_______________________________

# of Staff-to-Staff emails:

# of emails to and from professionals:

# of emails to and from parents, etc.:
_______________________________

Total emails:

Diane only: # of Listserv Posts:

Diane only: # of Newsletter Posts:

_______________________________

EMAILS TO / FROM PARENTS

AGES...................................................# of emails

Birth - 2.......................................

Preschool 3-5.............................

Elementary 6-11.........................

Middle School 12-14...................

High School 15-18 / graduated...

Beyond High School...................

DISABILITIES........................................# of emails

Autism.........................................

Deaf-Blindness.............................

Deaf-Hearing Impairment.............

Developmental Delay...................

Emotional Disturbance.................

Intellectual Disability.......................

Multiple Disabilities.......................

Orthopedic Impairment..................

Other Health Impairment...............

Specific Learning Disability...........

Speech/Language Impairment.......

Traumatic Brain Injury...................

Visual Impairment / Blindness........

ADD/ADHD....................................

Gifted.............................................

No IDEA Disability..........................

Suspected......................................

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During this month, how many times did you contact (by email or phone)
media sources (newspapers, radio or tv stations) for promotion

of our activities?

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Additional Comments: