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ATTACHMENT A SAN TEE DISCIPLINE REFERRAL (PLEASE TURN INTO THE MAIN OFFICE) I. GENERAL STUDENT INFORMATION Last Name: First: Grade: Incident Date: Incident Time: Date of Referral: Location/Context:
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How to fill out the student20discipline20referral20form20santee208-6-14doc - santeefalcons:
01
Start by entering the date of the referral in the designated space.
02
Fill in the student's name, ID number, grade level, and contact information.
03
Provide a detailed description of the incident that occurred and the reason for the referral.
04
Indicate the date and time of the incident, as well as the location.
05
If there were any witnesses to the incident, include their names and contact information.
06
Specify any actions that were taken at the time of the incident, such as interventions or consequences.
07
Write down any previous disciplinary actions that the student has received.
08
Sign and date the referral form to validate its authenticity.
09
Submit the completed form to the appropriate staff members or office.
Who needs the student20discipline20referral20form20santee208-6-14doc - santeefalcons:
01
Teachers or staff members who witness or are made aware of a student's disciplinary incident.
02
School administrators responsible for handling disciplinary matters.
03
The student's parents or guardians, who may be notified of the incident and its consequences.
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The student discipline referral form for Santee High School on 8-6-14.
Teachers, staff, or administrators who witness or are made aware of student discipline issues at Santee High School.
The form should be completed with details of the incident, student information, and actions taken by the filer.
The form is used to document and report student discipline incidents in order to take appropriate actions to address behavior.
Details of the incident, student name, student ID, grade level, and actions taken by the filer.
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