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  • Office Discipline Referral - Minor

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Revised 1/31/11 Not Being Respectful Not Being Safe Not following directions / Defiance Physical contact Disruptive Property misuse Other Other.

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How to fill out the Office Discipline Referral - MINOR online

Filling out the Office Discipline Referral - MINOR form can be a straightforward process if you follow the necessary steps. This guide provides clear, user-friendly instructions to help you complete the form accurately and efficiently online.

Follow the steps to fill out the form accurately online.

  1. Locate and press the ‘Get Form’ button to access the Office Discipline Referral - MINOR form. This will allow you to open and interact with the form in your preferred online editor.
  2. Begin by entering the student’s name in the designated field. Ensure that you spell the name correctly, as this is crucial for identification.
  3. Fill in the grade of the student in the appropriate section. This should correspond to their current academic level.
  4. Provide the name of the person who is making the referral in the 'Referred by' field. Include any additional necessary details.
  5. Record the date and time of the referral in the specified sections. This information helps to keep accurate records.
  6. Indicate the location of the incident by circling one of the options provided, such as 'Learning Space' or 'Lunchroom.' If applicable, specify any other locations.
  7. Select the behavior exhibited by the student from the categories provided, such as 'Not Being Respectful' or 'Not Being Safe.' Circle all that apply.
  8. In the 'Staff Member's Response' section, describe the actions taken, such as 'Reteach expected behavior' or 'Contact home.' Be clear and concise.
  9. Note any others involved by marking the appropriate options, such as 'peers' or 'teacher.' If necessary, specify additional participants.
  10. In 'Possible Motivation,' identify the potential reasons for the behavior. Circle all relevant options, including 'Avoid adults' or 'Obtain peer attention.'
  11. Use the comments section to include any further information that may be relevant to the incident or resolution.
  12. Finally, ensure a parent or guardian provides their signature in the designated area before submitting the form.

Complete the Office Discipline Referral - MINOR form online today to ensure effective documentation of student behavior.

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Questions & Answers

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A referral is a written request for an evaluation that is given to the school district when a child is suspected of having a disability and might need special education services. Interventions in general education have been attempted and documented; the interventions do not alleviate educational difficulties.

Office discipline referrals (ODRs) are one source of student discipline data that District- and School-wide MTSS Leadership Teams can use to evaluate the overall effectiveness of MTSS, to drive continuous improvement, to screen for behavior problems, and/or to monitor students' behavioral progress. Who is involved?

Usually parents are contacted by phone to discuss the referral.

A referral is a written request for an evaluation that is given to the school district when a child is suspected of having a disability and might need special education services. Interventions in general education have been attempted and documented; the interventions do not alleviate educational difficulties.

Office discipline referrals (ODRs) are a data source commonly used by school teams to identify students who need behavioral intervention.

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