Student Discipline / Family Communication Log

Christian Educators Resource Center

Student Discipline/ Family Communication Log

Student:

Class:

Instructor:

CERC agrees to follow Biblical principles of discipline. (2 Tim. 2:24-25, 2 Cor. 5:18-19)

Late to class

Academic dishonesty

Date:

Step 1

Behavior

Inappropriate dress

Disrespectful conduct

Notes/ Resolution:

addressed with students

age 12+.* Younger

Grades

Verbal misconduct

students' parents are

Homework not turned in

Inappropriate use of electronics

contacted.

Physical misconduct

Other ____________________

Parent/Student Signature:

* CERC expects student to respond respectfully and adjust behavior in accordance with the Student Guidelines and Responsibilities.

Step 2

Late to class

Academic dishonesty

Date:

Staff/instructor

Inappropriate dress

Disrespectful conduct

Notes/ Resolution:

addresses parent in

Grades

Verbal misconduct

writing. *

Homework not turned in

Inappropriate use of electronics

Physical misconduct

Other ____________________

* CERC expects parent to address the offense appropriately, promptly, and privately.

Parent/Student Signature:

Step 3

Late to class

Academic dishonesty

Date:

Parent

contacted. Designated

Inappropriate dress

Disrespectful conduct

Notes/ Resolution:

responsible party

Grades

Verbal misconduct

required to accompany

Homework not turned in

Inappropriate use of electronics

Duration student requires accompaniment:

student at all times while

Physical misconduct

Other ____________________

From

to

at CERC for a specified

(date)

(date)

time.*

Parent Signature:

* CERC asks that the family accept this discipline as appropriate and necessary in accordance with the Parent/Student Guidelines and Responsibilities.

Parent Signature

Step 4

B

ehavior issue(s) remain unresolved and problematic.

Student may no longer attend one or more classes at CERC for the

remainder of school year. Tuition policy and drop fees apply.

Director of Ed. Signature

Date:______________________

CERC President Signature

Staff/ Instructor: Please provide a copy of this form to the Director of Education after completing each step. Please attach copies of written correspondence as well as any pertinent information/

documentation. Thank you.