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ITS Example Office Discipline Referral (ODR) Name:___ Teacher: ___ Date:___ Time: ___ Grade: 7 8 9 Referring Staff: ___Location Classroom Cafeteria Common Area Library Hallway Locker Room Bathroom
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How to fill out office discipline referral example

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How to fill out office discipline referral example

01
Start by filling out the student's name and date of incident at the top of the form.
02
Describe the behavior that led to the referral in detail.
03
Indicate any previous interventions or consequences that have been tried.
04
Identify any witnesses to the incident and include their statements if possible.
05
Sign and date the form before submitting it to the appropriate school administrator.

Who needs office discipline referral example?

01
Teachers
02
Administrators
03
Counselors
04
School resource officers
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An example of an office discipline referral is when a student is sent to the principal's office for violating school rules.
Teachers, administrators, or other school staff members may be required to file office discipline referrals.
To fill out an office discipline referral, one must include the student's name, date of incident, description of the behavior, and any consequences given.
The purpose of an office discipline referral is to document student behavior that is in violation of school policies and to track disciplinary actions taken.
Information such as student's name, date of incident, description of behavior, consequences given, and any other relevant details must be reported on an office discipline referral.
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