Your child has committed an infraction of the school’s discipline ... · parents’ permission...
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DISCIPLINARY NOTICE TO PARENTS / AVISO DISCIPLINARIO PARA PADRES Southwest Junior High School Updated 08-03-2017 963 N. 8th Ave. PO Box 6870 San Luis, Arizona 85349 (928) 627-6580 (928) 627-9266 Fax Student/Estudiante: Grade/Grado: Teacher/Maestro(a): Others/Otros: Location of Infraction/Lugar del Incidente: Date/Fecha: Time/Hora: Your child has committed an infraction of the school’s discipline policies. Please note the “Recommendation or Action Taken” and discuss this with your child so that it does not happen again. Su hijo/a ha cometido una infracción en la escuela. Por favor tome nota de la “Acción Recomendada” y platique con su hijo/a para que no vuelva a suceder. School Violations Defiance/ Insubordination/Non- Compliance III Desafiante/insubordinado Lying/ Cheating III Mentir o engañar Physical Aggression II Agredir físicamente Dress code Violation III Violación al código de uniforme Disruption III Interrumpir o incitar a mal comportamiento Inappropriate Display of Affection III Muestras de afecto fuera de lo normal Disrespect III Faltar al respeto Use/ Possession of Tobacco II Uso o posesión de tabaco Abusive language/ Inappropriate Language/ Profanity III Uso de lenguaje no apropiado Use/ Possession of Drugs II Uso o posesión de drogas Tardy III Falta de puntualidad Use/ Possession of Weapons II Uso o posesión de armas Skip Class III No atender a clase Use/ Possession of Combustibles II Uso o posesión de líquidos inflamables Harassment III Acoso Use/ Possession of Alcohol II Uso o posesión de alcohol Bullying/Cyberbullying II Bullying/ Acoso Cibernético Gang Affiliation Display II Mostrar afiliación a pandillas Fighting II Pelear Bomb Threat/ False Alarm II Amenazas de bomba o mentir al respecto Inappropriate Location/ Out of Bounds Area III Estar en lugares restringidos Arson II Piromanía/incendiario(a) Truancy III Faltas excesivas a la escuela Other Behavior Otros comportamientos Forgery/Theft/Plagiarism III Falsificar/robar/copiar sin autorización Technology Violation III Violación a las reglas de tecnología Property Damage/ Vandalism III Dañar la propiedad de la escuela. Vandalismo Perceived Motivation Teacher Comments: _________________________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ __________________________________________ Obtain: Peer Attention ___ Items/Activities ___ Adult Attention ___ Avoid: Adults ___ Peer(s) ___ Tasks/Activities ___ Other/Unknown ___ Class II Offense: ___Other/Otro: ___1 st : Detention to Expulsion ___2 nd : ISS to Expulsion ___3 rd : 3-5 Days Suspension to Expulsion ___4 th : 5-10 Days Suspension to Expulsion Class III Offense: ___Other/Otro: ___ 1 st : Conf. w/Principal, Note sent home, & detention ___2 nd : Conf. w/Principal & Parent, Sat. School ___3 rd : Conf. w/Principal & Parent Conf., ISS for 1-3 days ___4 th : Conf. w/Principal, Parent, & OSS for 3-5 days RECOMMENDATION OR ACTION TAKEN/Recomendación o Acción Tomada: Alternative Placement ___ Loss of Priviledge ___ Individualized Instruction ___ Expulsion ___ Time out/Detention ___ Out of School Suspension ___ Additional Attendance/Saturday ___ Action Pending ___ Conference w/student ___ Parent Contact ___ Bus Suspension ___ Community Service ___ In-School Suspension ___ Time in Office ___ Restitution ___ Other Action Taken ___ *_____________________ ____________________ ________________________ Parent/Guardian Signature Student/Estudiante Signature Faculty/Staff Signature Administrator Signature *Please Sign and return to the school. Por favor firme y regrese a la escuela. “An English Learning Community” Omar Duron – Principal Luis Reyes-Assistant Principal PBIS Team ONLY
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Transcript of Your child has committed an infraction of the school’s discipline ... · parents’ permission...
DISCIPLINARY NOTICE TO PARENTS / AVISO DISCIPLINARIO PARA PADRES
Southwest Junior High School
Updated 08-03-2017
963 N. 8th Ave. PO Box 6870
San Luis, Arizona 85349 (928) 627-6580 (928) 627-9266 Fax
Student/Estudiante: Grade/Grado: Teacher/Maestro(a): Others/Otros:
Location of Infraction/Lugar del Incidente: Date/Fecha: Time/Hora: Your child has committed an infraction of the school’s discipline policies. Please note the “Recommendation or Action Taken” and discuss this with your child so that it does not happen
again. Su hijo/a ha cometido una infracción en la escuela. Por favor tome nota de la “Acción Recomendada” y platique con su hijo/a para que no vuelva a suceder.
School Violations
Defiance/ Insubordination/Non-
Compliance III Desafiante/insubordinado Lying/ Cheating III Mentir o engañar
Physical Aggression II Agredir físicamente Dress code Violation III Violación al código de uniforme
Disruption III Interrumpir o incitar a mal
comportamiento
Inappropriate Display of
Affection III
Muestras de afecto fuera de lo
normal
Disrespect III Faltar al respeto Use/ Possession of Tobacco II Uso o posesión de tabaco
Abusive language/ Inappropriate
Language/ Profanity III Uso de lenguaje no apropiado Use/ Possession of Drugs II Uso o posesión de drogas
Tardy III Falta de puntualidad Use/ Possession of Weapons II Uso o posesión de armas
Skip Class III No atender a clase Use/ Possession of
Combustibles II
Uso o posesión de líquidos
inflamables
Harassment III Acoso Use/ Possession of Alcohol II Uso o posesión de alcohol
Bullying/Cyberbullying II Bullying/ Acoso Cibernético Gang Affiliation Display II Mostrar afiliación a pandillas
Fighting II Pelear Bomb Threat/ False Alarm II Amenazas de bomba o mentir al
respecto
Inappropriate Location/ Out of Bounds
Area III Estar en lugares restringidos Arson II Piromanía/incendiario(a)
Truancy III Faltas excesivas a la escuela Other Behavior Otros comportamientos
Forgery/Theft/Plagiarism III Falsificar/robar/copiar sin
autorización
Technology Violation III Violación a las reglas de
tecnología
Property Damage/ Vandalism III Dañar la propiedad de la
escuela. Vandalismo
Perceived Motivation Teacher Comments:
_________________________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
Obtain: Peer Attention ___ Items/Activities ___ Adult Attention ___
Avoid: Adults ___ Peer(s) ___ Tasks/Activities ___ Other/Unknown ___
Class II Offense: ___Other/Otro: ___1st: Detention to Expulsion ___2nd: ISS to Expulsion ___3rd: 3-5 Days Suspension to Expulsion ___4th: 5-10 Days Suspension to Expulsion Class III Offense: ___Other/Otro: ___ 1st: Conf. w/Principal, Note sent home, & detention ___2nd: Conf. w/Principal & Parent, Sat. School
___3rd: Conf. w/Principal & Parent Conf., ISS for 1-3 days ___4th: Conf. w/Principal, Parent, & OSS for 3-5 days
RECOMMENDATION OR ACTION TAKEN/Recomendación o Acción Tomada: Alternative Placement ___ Loss of Priviledge ___ Individualized Instruction ___ Expulsion ___
Time out/Detention ___ Out of School Suspension ___ Additional Attendance/Saturday ___ Action Pending ___
Conference w/student ___ Parent Contact ___ Bus Suspension ___ Community Service ___
In-School Suspension ___ Time in Office ___ Restitution ___ Other Action Taken ___
*_____________________ ____________________ ________________________
Parent/Guardian Signature Student/Estudiante Signature Faculty/Staff Signature Administrator Signature *Please Sign and return to the school. Por favor firme y regrese a la escuela.
“An English Learning Community” Omar Duron – Principal Luis Reyes-Assistant Principal
PBIS Team ONLY
Behavior Intervention
Southwest Junior High School
Updated 8/4/17 Principal: Omar Duron - Assistant Principal: Luis Reyes
963 N. 8th Ave. PO Box 6870
San Luis, Arizona 85349 (928) 627-6580 (928) 627-9266 Fax
Student/Estudiante: Grade/Grado: Teacher/Maestro(a): Others/Otros:
Location of Infraction/Lugar del Incidente: Date/Fecha: Time/Hora: Your child has committed an infraction of the school’s discipline policies. Please note the “Recommendation or Action Taken” and discuss this with your child so that it does not happen
again. Su hijo/a ha cometido una infracción en la escuela. Por favor tome nota de la “Acción Recomendada” y platique con su hijo/a para que no vuelva a suceder.
School Violations
Defiance/ Insubordination/Non-
Compliance III Desafiante/insubordinado Lying/ Cheating III Mentir o engañar
Physical Aggression II Agredir físicamente Dress code Violation III Violación al código de uniforme
Disruption III Interrumpir o incitar a mal
comportamiento
Inappropriate Display of
Affection III
Muestras de afecto fuera de lo
normal
Disrespect III Faltar al respeto Use/ Possession of Tobacco II Uso o posesión de tabaco
Abusive language/ Inappropriate
Language/ Profanity III Uso de lenguaje no apropiado Use/ Possession of Drugs II Uso o posesión de drogas
Tardy III Falta de puntualidad Use/ Possession of Weapons II Uso o posesión de armas
Skip Class III No atender a clase Use/ Possession of
Combustibles II
Uso o posesión de líquidos
inflamables
Harassment III Acoso Use/ Possession of Alcohol II Uso o posesión de alcohol
Bullying Cyber Bullying II Bullying / Acoso Cibernético Gang Affiliation Display II Mostrar afiliación a pandillas
Fighting II Pelear Bomb Threat/ False Alarm II Amenazas de bomba o mentir al
respecto
Inappropriate Location/ Out of Bounds
Area III Estar en lugares restringidos Arson II Piromanía/incendiario(a)
Truancy III Faltas excesivas a la escuela Other Behavior Otros comportamientos
Forgery/Theft/Plagiarism III Falsificar/robar/copiar sin
autorización
Technology Violation III Violación a las reglas de
tecnología
Property Damage/ Vandalism III Dañar la propiedad de la
escuela. Vandalismo
Perceived Motivation Teacher Comments:
_________________________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
Obtain: Peer Attention ___ Items/Activities ___ Adult Attention ___
Avoid: Adults ___ Peer(s) ___ Tasks/Activities ___ Other/Unknown ___
Behavior Intervention
Southwest Junior High School
Updated 8/4/17 Principal: Omar Duron - Assistant Principal: Luis Reyes
Your Future Your Choice
Program Participation Consent Form Dear Parent / Guardian:
Campesinos Sin Fronteras’ Your Future Your Choice program has developed a program uniquely structured to meet the needs of
students requiring additional behavioral support at Southwest Junior High School. These presentations will help address students’
behavior and discipline providing them with tools to achieve their best academic performance. This is an opportunity for teens to
engage in a learning environment designed to encourage them to take leadership roles and become exemplary youth in the
community and school. The following topics will be imparted by Your Future Your Choice’s Facilitators:
• Self-esteem * Values *Relationships (Family & Friends) *Influence
• Communication *Goal Setting/Decision Making
We will be working with Southwest Junior High School every Monday from 1:15 PM to 4:15 PM. For this reason, we ask the
parents’ permission for their children to participate in these presentations of knowledge and skill acquisition, and to allow us to take
pictures during these presentations that could be used by Campesinos Sin Fronteras to promote future programs.
El programa Tu Futuro Tu Decisión de Campesinos Sin Fronteras ha desarrollado un programa estructurado de forma única para
satisfacer las necesidades de los estudiantes que requieren apoyo adicional en el área de comportamiento en Southwest Junior High.
Estas presentaciones ayudarán a los estudiantes con temas tales como el comportamiento y la disciplina para lograr un mejor
rendimiento escolar. Esta es una oportunidad para que los adolescentes se involucren en un ambiente de aprendizaje diseñado para
animarles a asumir papeles de liderazgo y convertirse en estudiantes ejemplares en la comunidad y la escuela. Los siguientes temas serán
impartidos por facilitadores de el programa Tu Futuro Tu Decisión:
• Autoestima * Valores * Las relaciones (familia y amigos) *• Influencia
• Comunicación • La fijación de objetivos / Toma de Decisiones
Vamos a trabajar con la escuela Southwest Junior High todos los Lunes de 1:15-4:15 Pm. Por esta razón, solicitamos el permiso de los
padres para que sus hijos participen en estas presentaciones de conocimiento y la adquisición de habilidades, y nos permiten tomar
fotografías durante estas presentaciones que podrían ser utilizados por Campesinos Sin Fronteras para promover programas a futuro.
---------------------------------------------------------------------------------------------------- I give consent to my child/daughter to participate in this program, and to Campesinos Sin Fronteras to take pictures of
him/her during the program that could be used for future projects.
Doy consentimiento de que mi hijo(a) participe en este programa, y de que la agencia Campesinos Sin Fronteras tome
fotografías durante las presentaciones.
Students name/Nombre del estudiante Age: /Edad: Tel. number/Numero de teléfono:
________________________________ __________ __________________________
Parent’s or guardian’s signature Parent’s or guardian’s print name
Firma de los padres o tutores Nombre en letra de molde de padre o tutor
Parent’s or guardian telephone number: ___________________ Date: _________________
Teléfono de los padres o tutores Fecha
SWJH will not provide transportation.
SWJH no proveerá transportación.
For more info, you can call us at: (928) 627-1060
Ivan Gutierrez, Program Coordinator
Updated 08-03-2017 Principal : Omar Duron – Assistant Principal: Luis Reyes
Southwest Junior High School
963 N. 8th Ave. P.O box 6870 San Luis, Arizona 85349 San Luis Az. 85349 Tel: (928)627-6580 Fax: (928)627-9266
Behavior Documentation
Student: ____________________________________ Grade: _________ Teacher: ____________________________________ School: _________ Step 1: Re-teach GRIT Date: __________________ Student Signature: ______________________________________ Circle Genuine Respectful Inspirational Trustworthy ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Step 2: Second Reminder Date: __________________ Student Signature: ______________________________________ Circle Genuine Respectful Inspirational Trustworthy ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Step 3: Reflection Form (see back side) Step 4: Parent Conference or Conference Call Date: __________________ Discussion:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Parent Signature____________________________ Student Signature: ______________________________________ Step 5: Monday After School Behavior Intervention (Send referral form, this form and all documentation to the office.)
Step 6: Office Discipline Referral ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Updated 08-03-2017 Principal : Omar Duron – Assistant Principal: Luis Reyes
Southwest Junior High
Behavior Reflection Form Name: ______________________________________________ Teacher Referring: _____________________________________ Date: ____________________ Directions: Read each question and answer them as thoroughly as possible. Do not leave out any details and please be honest. When did my inappropriate behavior occur?
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What behavior expectation should I be following?
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What will be the consequences, if I do not follow GRIT expectations?
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What could I have done Instead?
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What positive outcome may occur if I choose an appropriate behavior to handle my problem?
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Student Signature:___________________________ Administrator Signatures:________________________
