Notification Of Detention Form

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NOTIFICATION OF DETENTION
STUDENT NAME___________________________I.D.__________________DATE ISSUED________
GRADE___________
Detention(s) on the following date(s) _______________, ________________, ________________
Teacher’s room____________at___________p.m.
Location: ____
___
CSI Room 212 promptly at 6:50 a.m.
____
CSI Room 212 promptly at 2:25 p.m.
REASON FOR DETENTION(S)
DATE(S) SERVED
SIGNATURE
Disrespectful
________ Tardy
_______
_______
____________________
Disruptive
________ Misuse of Pass
_______
_______
____________________
Insubordinate
________ No work
_______
_______
____________________
TEACHER’S SIGNATURE: _______ ___________________________________
NO LATE ARRIVALS
All detentions will be served by the date(s) and time indicated above.
Repeated problems will result in further administrative action(s).
The only way to change this detention in any way is by consent of the person that originally issued this
st
nd
detention. Failure to serve will result in one day of Saturday School on the 1
offense and S.C.S.I. on the 2
offense. You must work for the entire detention period with no talking allowed. Failure to follow these rules
will result in no credit for time served. All schools policies are enforced during this period.
NOTIFICATION OF DETENTION
STUDENT NAME____________________________I.D.__________________
DATE ISSUED_____
GRADE____________
Detention(s) on the following date(s) ______________, ______________, ________________
Teacher’s room____________at___________p.m.
Location: ____
___
CSI Room 212 promptly at 6:50 a.m.
____
CSI Room 212 promptly at 2:25 p.m.
REASON FOR DETENTION(S)
DATE(S) SERVED
SIGNATURE
Disrespectful
________ Tardy
_______
_______
____________________
Disruptive
________ Misuse of Pass
_______
_______
____________________
Insubordinate
________ No work
_______
_______
____________________
TEACHER’S SIGNATURE: __________________________________________
NO LATE ARRIVALS
All detentions will be served by the date(s) and time indicated above.
Repeated problems will result in further administrative action(s).
The only way to change this detention in any way is by consent of the person that originally issued this
st
nd
detention. Failure to serve will result in one day of Saturday School on the 1
offense and S.C.S.I. on the 2
offense. You must work for the entire detention period with no talking allowed. Failure to follow these rules
will result in no credit for time served. All schools policies are enforced during this period.
Rev. 2016.02.19

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