Get the free Discipline Referral Form - Spokane Public Schools - spokaneschools

DSS Making a CPS Referral: A Guide for Mandated Reporters Video. Once airport is made, school personnel must complete the Reporting of Child Abuse in Spokane Public Schools form which can be found

How to fill out discipline referral form

Point by point how to fill out a discipline referral form:

1. Start by filling in your personal information: Provide your name, date of birth, and contact information. This ensures that the disciplinary committee can easily reach out to you if needed.
2. Next, specify the details of the incident: Clearly describe what happened, including the date, time, and location. Be as specific as possible, providing relevant facts and avoiding personal opinions or exaggerations.
3. Identify the individuals involved: List the names and any additional information about the individuals who were part of the incident. Include their roles, such as students, teachers, or administrators, and provide any relevant contact details.
4. Describe the violation or offense: Specify the rule or policy that was violated. Explain the nature of the offense and provide supporting evidence if available, such as witness statements, photographs, or videos.
5. Include supporting documents: Attach any supporting documents that may be relevant to the incident, such as incident reports, emails, or disciplinary records. These documents can provide additional context and strengthen your case.
6. Provide your statement: Write a detailed account of what happened from your perspective. Be clear and concise, focusing on the facts and avoiding emotional language. Explain the impact of the incident and how it has affected you or others involved.
7. Sign and date the form: Once you have completed all the necessary sections, sign and date the discipline referral form. This signifies that the information provided is accurate and complete.

Who needs a discipline referral form:

1. Students: If a student has witnessed or is involved in a disciplinary incident, they may need to fill out a discipline referral form. This allows them to report the incident to the appropriate authorities and provide their perspective on the matter.
2. Teachers and school staff: If a teacher or any other school staff member observes a disciplinary issue, they may be required to fill out a discipline referral form. This helps document the incident, gather information, and ensure appropriate action is taken.
3. Administrators and disciplinary committees: Discipline referral forms are essential for administrators and disciplinary committees as they provide a formal record of incidents. This allows for thorough investigation and appropriate disciplinary measures to be taken.

In summary, filling out a discipline referral form requires providing personal information, detailing the incident, identifying individuals involved, describing the violation, including supporting documents, providing a statement, and signing the form. Students, teachers, school staff, administrators, and disciplinary committees may all need discipline referral forms to report and address disciplinary incidents effectively.

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