Disciplinary Action Form

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Disciplinary Action Form
To the parent/guardian of:
Student Name: ______________________________________________________________
Address: __________________________________________________________________
SS#:________________________ Regular Ed: _______________Special Ed: _____________
Phone Number: _____________________ Date parent was notified and how: ________________
In accordance with R.S. 17:416, your child:
Has been assigned to after-school detention for a period of __________ days.
Is being suspended from school for a period of __________ days.
Has been placed on parent-conference suspension and cannot return to school until a parent/legal
guardian has a conference with a school administrator.
The reason(s) for the action taken include:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Your child:
Has been recommended for expulsion pending a hearing. You will be contacted with the date of the
hearing. Parents have the right to request to view all of the evidence to be presented by the school at
the expulsion hearing.
Can return to school after the last suspension date. The suspension will start on ______________
and end on _____________. Your child can return to school on _____________. Educational
services will be provided to your child by the school from 5pm to 7pm during this period of time.
Can return to school after a parent has a conference with a school administrator.
Must complete after-school detention days (from 5pm to 7pm) or a 3 day suspension will be given.
After school detention will start on _______________ and end on ______________.
For after-school detentions and suspensions, your child must wear their school uniform, report on time,
stay until ________, refrain from talking or eating during the detention/suspension session, refrain
from sleeping, and complete all school work given to them.
We regret that it has been necessary to take disciplinary action. If you desire further information
concerning this matter, you may contact the school at ___-___-____.
Sincerely,
Charter School Tools

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