Student Attendance Intervention Plan Page 4
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2
3
4Plan Approval Date
Student’s Signature
Parent/Guardian’s Signature
School Official’s Signature
Parent/Guardian’s Signature
Conference Contact Documentation
st
1
Attempt to Contact Parent/Guardian
Successful?
Yes
No
Date:
Phone Call
Certified Letter
Other
Letter
E-mail
nd
2
Attempt to Contact Parent/Guardian
Successful?
Yes
No
Date:
Phone Call
Certified Letter
Other
Letter
E-mail
rd
3
Attempt to Contact Parent/Guardian
Successful?
Yes
No
Date:
Phone Call
Certified Letter
Other
Letter
E-mail
Parent attended Attendance Intervention Plan conference?
Yes
No
This intervention plan was adapted from a similar document found in the manual entitled “Guidelines for
Improved Student Attendance and Truancy Prevention” which was developed by the Chicago Public School’s
Office of Instruction and School Management.
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