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Primary: Permanent Exclusion Referral form
PUPIL DETAILS
NAME:
DOB & YEAR GROUP:
MALE/FEMALE:
ADDRESS:
ETHNIC BACKGROUND CODE:
SEN STAGE:
UPN:
SATs LEVELS: LITERACY
NUMERACY, READING,
PARENT/CARER
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How to fill out primary permanent exclusion referral

How to fill out primary permanent exclusion referral:
01
Gather necessary information: Before filling out the referral, make sure you have all the required details. This may include the student's name, date of birth, grade level, and any specific incidents or behavior that led to the referral.
02
Identify the reason for referral: Clearly state the reason why the primary permanent exclusion referral is being made. This could involve serious disciplinary issues, repeated misconduct, or violation of school policies.
03
Provide supporting documentation: It is important to back up the referral with any relevant evidence or documentation. This may include incident reports, witness statements, behavior logs, or any other records that support the decision to seek permanent exclusion.
04
Complete the referral form: Fill out the referral form accurately and thoroughly. Include all requested information, such as the student's personal details, parent/guardian contact information, and any previous interventions or disciplinary actions taken.
05
Detail the steps taken previously: Outline any efforts made to address the student's behavior or issues before resorting to a permanent exclusion referral. This could include interventions, counseling, or disciplinary measures already implemented.
06
Include recommendations: Provide any suggestions or recommendations for alternative interventions or programs that may benefit the student. Highlight any supports that could help address the underlying causes of the student's behavior.
07
Seek approval and signatures: Make sure to obtain the necessary approvals and signatures from the appropriate individuals, such as the principal, school counselor, or other designated authorities. Follow your school's procedures and protocols for obtaining these signatures.
Who needs primary permanent exclusion referral:
01
Students demonstrating severe and persistent disciplinary issues: Primary permanent exclusion referrals are typically necessary for students who exhibit serious and ongoing behavioral problems. These may include acts of violence, drug-related offenses, bullying, or repeated infringements of the school's code of conduct.
02
Cases where other interventions have proven ineffective: If prior interventions, counseling, or disciplinary actions have failed to address the student's behavior, a primary permanent exclusion referral might be required. This referral highlights the need for more severe consequences and removes the student from the school environment.
03
Decision-making by school administrators: The ultimate decision to issue a primary permanent exclusion referral rests with the school administrators. They assess the severity of the student's behavior, review any necessary evidence, and determine if permanent exclusion is warranted to maintain a safe and conducive learning environment for all students.
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What is primary permanent exclusion referral?
Primary permanent exclusion referral is a formal document used to refer a student for permanent exclusion from a school.
Who is required to file primary permanent exclusion referral?
School administrators or authorized personnel are required to file primary permanent exclusion referral.
How to fill out primary permanent exclusion referral?
Primary permanent exclusion referral must be filled out with accurate information about the student's behavior and actions leading to the referral.
What is the purpose of primary permanent exclusion referral?
The purpose of primary permanent exclusion referral is to document the reasons for the student's permanent exclusion from the school.
What information must be reported on primary permanent exclusion referral?
Primary permanent exclusion referral must include details about the student, incident leading to the referral, and actions taken by the school.
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