Discipline referral form high school 2025

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  1. Click ‘Get Form’ to open the discipline referral form in the editor.
  2. Begin by filling in the 'Student Referred', 'Teacher', 'Period', and 'Date' fields at the top of the form. Ensure all information is accurate for proper documentation.
  3. In the 'TEACHER ACTION' section, document all actions taken prior to sending a referral. List at least five interventions or strategies you have implemented.
  4. Select appropriate options under 'PREVENTION' and 'INTERVENTION'. Check any relevant boxes that apply to your situation, such as academic assistance or student conferences.
  5. Fill out the 'DISCIPLINE' section based on the behavior observed. Choose from options like detention or trash pick-up, and provide additional comments if necessary.
  6. Complete the 'PARENT CONTACT' section by noting the date of contact and any responses received. If contact was unsuccessful, indicate this clearly.
  7. In the 'REFERRAL SECTION', select appropriate referrals based on student needs, such as counseling or nurse visits. Provide detailed comments where required.
  8. Finally, review all entries for accuracy before saving your completed form. Use our platform’s features to easily share or print your document as needed.

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A referral typically entails your school keeping a record of the incident leading to some form of discipline or intervention. Whether it goes on your permanent record depends on your schools policies, and it is best to check with your school counselor or administrator for clarification.
The referral is the first formal action step made by a teacher or school staff member that leads to a suspension. There are many more disciplinary referrals made than actual suspensions, and it is important to start at that point to investigate systemic bias because it is the entryway to the system.
Discipline Referrals and Procedures A referral is a communication from the classroom teacher to an Assistant Principal describing a students misconduct that has violated classroom or school rules.
A referral in school is the formal process of requesting an evaluation to determine if a student has a disability and requires specialized support services.
School suspensions can have lasting effects on a students record, influencing their future educational and career opportunities. While suspensions are typically recorded, there are circumstances under which they can be expunged.
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