Student Text Usage Log Form
Log and track student text-message usage efficiently and clearly with this minimal, modern form.
Student Full Name
*
First Name
Last Name
Date of Text Message
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time Sent
*
Hour Minutes
AM
PM
AM/PM Option
Recipient Type
*
Please Select
Student
Parent/Guardian
Teacher/Staff
Other
Purpose of Message
*
Please Select
Classwork/Assignments
Attendance
General Inquiry
Personal
Other
Brief Summary of Message Content
*
Number of Messages Sent
*
Device Used
Please Select
School Device
Personal Device
Other
Additional Notes (optional)
Submit Log
Should be Empty: