Return from Suspension Conference Form & Behavior Assessment Plan This plan is required for readmission following an assignment of Out-of-School or Alternative to Suspension. Date of Conference: ___________________ School: _______________________ Students Name: ______________________ Grade: ___ Age:____ DOB:______ Reg/SPED/504_____ The following people were present for the conference: Parent(s)/Guardian(s): _________________________________________ Student: _____________________________________________________ Administrator: ________________________________________________ Counselor: ___________________________________________________ Teachers: ____________________________________________________ Others: ______________________________________________________ # of Office Referrals: # Suspensions: Current Year Discipline History: # of Detentions: # of In School Suspensions: # Recommended Saturday Interventions: Expulsions: WHAT is the reason for this suspension? __________________________________ WHERE did it occur? __________________________________________________ WHY do you believe the student engaged in this behavior? ___To gain attention ___ To gain power/control ___To avoid completing task ___Other Previous Attempts to Improve Behavior: Has a parent meeting been scheduled and held? Yes No Comments: _______________ Is there a documented behavior plan? Yes No How long has it been in effect? _______ Has the student been referred to the school counselor, CAT, or STARS? Yes No On what date? ______ Has student been referred to court for truancy? Yes No Comments: ______________ Has student been referred to FINS? Yes No Comments: ________________________ Other community agencies? ? Yes No Comments: ____________________________ Other Considerations: Days absent in current session: ___Academic Average: Good ___ Fair ___ Poor ___ Age/Grade Appropriate? Yes No Teacher Reports: Good __ Fair ___ Poor ___ In order for __________________ (student’s name) to return to ______________________________ (school) and avoid being suspended again or recommended for expulsion the following behavior changes must be made: Follow directions Adhere to dress code regulations Complete assignments Accept “no” for an answer Disagree appropriately Give criticism appropriately Speak courteously with others Report promptly to assigned areas during transitions Express feelings and anger appropriately Report other youths’ behavior Gain teacher’s attention appropriately Make apologies Avoid using profanity Interact without teasing Remain in assigned area Accept criticism or consequence Remain in class unless given permission to leave The TEACHER and/ or COUNSELOR will: Teach social skills listed above Use preventive teaching techniques Review the students schedule for academic issues Correct the student discreetly and in close proximity Maintain daily and or weekly communication with parents Instruct all staff on the BAP who are involved The STUDENT will: Sign the plan as a behavior contract Take a progress report or Probation Card to each teacher daily for signatures Take a report home daily for the parents’ signature Return the signed report the following day Take assignments home daily Complete a self-monitoring chart hourly The PARENT will: Practice social skills at home with the student Sign reports sent home daily See that the student takes signed reports to school Reward at home based upon behavior reports from school Maintain communication with the teacher Use charting at home to assess progress Additional restrictions or conditions of readmission: Must attend school every day unless there is a valid excuse and be on time Must obey all parish, school, and classroom rules and not commit any behavior offense which would normally result in suspension Must be respectful to all staff members Must complete school work to the best of his/her ability Must not participate in any extra-curricular activities Must write a personal letter of apology to the following individual(s) (_________________________)and submit to the school principal by _________ (date) Must write and sign a contract stating (5, 7, 10) ways he/she will change their behavior and have it signed by a parent and submitted to the principal by ________ (date) Must bring an agenda book home and have it signed by a parent daily Must ride LPSS transportation to/from school or ride with a parent daily (may not drive/ride with friends) Must complete and submit any make-up work by _________ (date) The student is referred to ___ CAT ____ STARS ____ SBLC ____ TAT ____ TASC ____ FINS and must comply with all treatment recommendations. This plan may be revisited or modified at any time and will be reviewed on ______________________ (30 calendar days) for determination of completion or continuation.
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