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Student Discipline Log Clay King

This document is a student discipline log from the 2010-2011 school year. It tracks student infractions over a nine-week period, with spaces to record the date, offense, and student acknowledgment signature. It warns that the next offense will result in the form being sent home to parents/guardians to inform them, and any further offenses will result in a referral to the Dean of Students. The bottom section is a letter to parents/guardians explaining that the student has received three warnings for improper classroom behavior and will be referred to the Dean after another infraction. It requests the parent/guardian signature to acknowledge receiving the form.

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96 views1 page

Student Discipline Log Clay King

This document is a student discipline log from the 2010-2011 school year. It tracks student infractions over a nine-week period, with spaces to record the date, offense, and student acknowledgment signature. It warns that the next offense will result in the form being sent home to parents/guardians to inform them, and any further offenses will result in a referral to the Dean of Students. The bottom section is a letter to parents/guardians explaining that the student has received three warnings for improper classroom behavior and will be referred to the Dean after another infraction. It requests the parent/guardian signature to acknowledge receiving the form.

Uploaded by

api-361243725
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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STUDENT DISCIPLINE LOG: 2010-2011 __________ NINE-WEEKS

NAME _______________________________________________ PERIOD _________

DATE OFFENSE STUDENT


ACKNOWLEDGEMENT

1. ________ ____________________________________________ _________

2. ________ ____________________________________________ _________

3. ________ ____________________________________________ _________

I AM AWARE THAT MY NEXT OFFENSE WILL RESULT IN THIS FOROM BEING SENT TO MY
PARENTS/GUARDIANS TO INFORM THEM OF MY MISCONDUCT AND TO FURTHER INFORM
THEM THAT MY NEXT OFFENSE WILL RESULT IN MY BEING REFERRED TO THE DEAN OF
STUDENTS FOR DISCIPLINARY ACTION. EACH OFFENSE THEREAFTER WILL RESULT IN A
REFERRAL TO THE DEAN.
________________________________________
Student signature

4. ________ ____________________________________________ _________

5. ________ ____________________________________________ _________

6. ________ ____________________________________________ _________

Dear Parent/Guardian,

Because my students are almost always good kids overall, I rarely have to send a student to the
Dean for any major infraction of my, the school’s, the county’s, or the state’s rules. A great deal
of my class time is spent, however, reprimanding students for silly infractions which, though not
serious in and of themselves, nevertheless are disruptive and counterproductive to the ability of
either your child/ward or his/her classmates to learn. For that reason, I have devised this form to
give my students ample warning that their conduct in class is unacceptable. If this form is being
sent home to you, it is only after your child/ward has received three warnings about improper
behavior. Please sign below to acknowledge that you have received this sheet and are aware that
your child/ward will be referred to the Dean of Students after another instance of breaking the
rules in class. Thank you for your time.

Teacher’s name
Department
GBHS

I have reviewed this form and discussed this matter with my child/ward.

__________________________________________________DATE_____________
PARENT/GUARDIAN SIGNATURE

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