Student Referral and Information Packet

Student Referral and Information Packet / 2016-17
/ Socorro Independent School District /

Intake Checklist

This checklist has been developed to better serve the needs of the student(s) while placed at KEYS Academy. This checklist is a tool to assist you with all the required DAEP forms that must be turned in before the student(s) intake date.

1. Fax the discipline referral to 851-7287 or email to to secure intake date. Date:

2. Schedule discipline hearing and notify parent. Obtain parent’s signature on discipline referral.

Hearing Date:

3. Obtain intake date from intake secretary(3 school days of fax date above): Intake Date:

Corresponding exit date:

4. Complete KEYS Academy Student Referral and Information Form and gather all needed information:

Copy of Current Grades-in-progress {Current Grades (Gradebook Contract)}

Transcript

Discipline history (when recommending placement due to persistent misbehavior)

Copy of PEIMS Special Programscoded in Tyler

*Teacher Notification and Feedback Forms

SPED/504Meeting Date: ______

ELL/LPAC Meeting held: ______

For Transfer/Re-Entry students, please ensure that original copies of the following items are on file in the blue folder.

Home Language Survey date: ______

HLS (signed when students first registered in Texas school)

Initial Placement OLPT Score/Data

Parent Notification of Placement

Initial Placement LPAC forms/PEIMS data which indicates LEP Status

Instructions

When referring a student to KEYS Academy, please follow these steps:

Fax a copy of the discipline referral as soon as possible to KEYS Academy at 851-7287 OR email a pdf copy as an attachment (recommended)to . If a parent signature hasn’t been obtained please make sure to provide a signed copy with all paperwork. Please include the incident case number if there is one associated with the referral (some offenses require administration to notify police services). It is extremely important to completely fill out the discipline referral, including Special Education information and when the parent meeting will be/was held so KEYS Academy administration can provide you with an intake and exit date prior to the parent meeting.
Schedule a discipline hearing with the parent as soon as your investigation determines a DAEP placement may be warranted. There is no need to wait for KEYS Academy administration to contact you before scheduling the parent meeting for mandatory placements. If the student is a special education student (verify with diagnostician), please schedule a manifestation determination ARD Meeting and invite the KEYS Academy administration/representative.

Suggested Agenda for Parent Meeting

(Using the Removal Conference Script from the SISD Discipline Handbook is recommended)

Introductions
Explanation of student’s Code of Conduct Violation, corresponding discipline options, and laws and policies related to violation (i.e. mandatory vs. discretionary placements, TEC Chapter 37, etc.) Remember, this is traumatic for parents. Try to put yourself in their shoes and understand their fears and concerns. DAEP placement is not every parent’s dream for their child.
Present case against student’s behavior and present witnesses.
Allow student and parents to present explanation or their defense and witnesses.
Notify parents of due process rights and procedures including appeal process.

At this point you can proceed with a decision or tell the parent you would like to consider your decision and will notify them via letter of your decision. If you decide to go forward with the DAEP placement during the hearing, you can continue with the following steps:

Explain student trespassing policy and present parent with Criminal Trespass Warning that you will keep on your campus.
Go over Intake form with parents and obtain initials and signatures where indicated.
Notify parent of intake/orientation date and projected exit date.
Explain students must be present at the intake in order to avoid unexcused absences and possibly truancy court.
Provide parent copies of all documentation.
Assist parents with withdrawal process and obtain signed withdrawal form
Adjourn meeting

3. After the discipline hearing with the parent, gather all needed documentation (included in the checklist) and the cumulative folder and send to KEYS Academy prior to intake date.

4. Expect confirmation the student attended the intake/orientation from KEYS Academy. If you do not hear from us after two (2) days of the scheduled intake/orientation date, please contact the campus receptionist at 937-4000 to verify whether or not the student attended their appointment.

*Please Note:

All required documentation must be complete with parent signature (or witness signature if parent refuses) and received by KEYS Academy within three (3) school days prior of the student’s intake date. If not, the student will be returned to the home campus. Forms are listed on the Campus Paperwork Checklist on page 1.

Student Referral Flow Chart

9-11 Week Placement Schedule

2016-16 KEYS Academy Intake and Placement Schedule / 9-11 School Weeks / Placement lengths are determined in accordance with Socorro ISD Student Code of Conduct (section III H) which states students may not exit DAEP placement until the end of a grading period.
Wk / Gr Pd / Student Intake Date / Projected Exit** / Notes/Important Information
1 / 1A / Aug1 – Aug5, 2016 / November 4, 2016
2 / Aug 8-12, 2016 / November 4, 2016
3 / Aug 15-19, 2016 / November 4, 2016
4 / 1B / Aug 22-26, 2016 / December 2,2016
5 / Aug 29-Sept 2, 2016 / December 2,2016
6 / Sept6 –9, 2016 / December 2, 2016
7 / 1C / Sept 12-16, 2016 / December16, 2016
8 / Sept 19-23, 2016 / December 16, 2016
9 / Sept 26-30, 2016 / January20, 2017 / Emergency Intakes Only (expulsion level)
10 / 2A / Oct 17-21, 2016 / January 20, 2017 / STATE ASSESSMENT TEST DAY
11 / Oct 24-28, 2016 / January 20, 2017
12 / Oct 31-Nov 4, 2016 / February 10, 2017
13 / 2B / Nov 7-10, 2016 / February 10, 2017
14 / Nov 14-18, 2016 / February 10, 2017
15 / Nov 28-Dec 2, 2016 / March 10, 2017
16 / 2C / Dec 5-9, 2016 / March 10, 2017 / STATE ASSESSMENT TEST DAY
17 / Dec 12-16, 2016 / March 10, 2017
18 / 3A / Jan 3-6, 2017 / March 10, 2017
20 / Jan 9-13, 2017 / April 13, 2017
21 / Jan 17-20, 2017 / April 13, 2017
22 / 3B / Jan 23-27, 2017 / April 13, 2017
23 / Jan 30- Feb 3, 2017 / May 5, 2017
24 / Feb 6-10, 2017 / May 5, 2017
25 / 3C / Feb 13-17, 2017 / May 5, 2017
26 / Feb 20-24, 2017 / June 2, 2017 / EOC and TELPAS ALERT!!
27 / Feb 27-Mar 3, 2017 / June 2, 2017 / STATE ASSESSMENT TEST DAY
28 / 4A / Mar 6-10, 2017 / June 2, 2017 / TELPAS TESTING WINDOW
29 / Mar 27-31, 2017 / June2, 2017 / TELPAS TESTING WINDOW
30 / Apr 3-7, 2017 / August 18, 2017 / TELPAS TESTING WINDOW
31 / 4B / Apr 10-13, 2017 / August 18, 2017 / STATE ASSESSMENT TEST
32 / Apr 17-21, 2017 / August18, 2017 / STAAR EOC Testing Alert!
33 / Apr 24-28, 2017 / September 8, 2017 / STAAR Testing Alert 8TH GRADE READING and NO HS INTAKES!
34 / 4C / May 1-5, 2017 / September 8, 2017 / STATE ASSESSMENT TEST DAY
35 / May 8-12, 2017 / September 8, 2017 / STATE ASSESSMENT TEST DAY
36 / May 15-19, 2017 / September 29, 2017 / Emergency intakes only - all others attend summer intake.
37 / May 22-26, 2017 / September 29, 2017 / Emergency intakes only - all others attend summer intake.
38 / May 30-June 2, 2017 / September 29, 2017 / Emergency intakes only - all others attend summer intake.
Dates subject to change upon SISD Board of Trustees adoption of 2016-17 Academic Calendar.
** Exits are calculated by counting SISD school weeks (adopted calendar) with the first week enrolled at KEYS Academy as week 1. A minimum of nine (9) school weeks is required. The next available exit date will be the student's exit date.

Home Campus Return Date: ______

Elective Course / Semester / Teacher / Packet Completed (Yes/No) / Teacher Signature / Date Received

Student Referral and Information Form

Student Name: ______ID: ______Grade Level:______

Parent/Guardian Name: ______Phone: ______

Address: ______Zip: 799______

Referring Administrator: ______Phone: 937-______Home Campus: ______

This student is being referred to KEYS Academy in accordance with the following Socorro ISD Student Code of Conduct discipline infraction (Please have parent/guardian initial on the corresponding blank lines).

A: Level 3 Discretionary PlacementP/G Initials ______.

(9 school week placement depending on offense).

B: Level 3 Mandatory PlacementP/G Initials ______

(9 school week placement).

C: Level 4 Discretionary Expulsion P/G Initials ______

(18-36 school week placement depending on offense; does not qualify for early exit if student has been previously placed at KEYS Academy in the same academic year).

D: Level 4 Mandatory ExpulsionP/G Initials ______

(180 school day placement depending on offense; does not qualify for early exit).

HEARING DECISION

______Student assigned DAEP placement at KEYS Academy(Complete all sections below).

______Student not assigned DAEP placement and will remain at home campus (Retain form in student’s discipline file).

SPED/504

S1 Student receives Special Education services and a Manifest Determination ARD was held on .

BIPwas updated at above ARD meeting and is attached (required if S1 is checked).

S2 Student receives 504 services and a Manifest Determination meeting was held on .

BIPwas updated at above ARD meeting and is attached (required if S2 is checked)..

S3 Student does not receive Special Education or Section 504 services.

ELL/LPAC

E1Student receives ESL services in the following classes: LPAC Meeting was held:

E2Student does not receive ESL services in class but is identified as ELL. LPAC Meeting was held:.

E3Student does not receive any bilingual/ESL or ELL services.

LOC

L1Student is currently being served for Loss of Credit. Attendance Committee Meeting date:

Contract and attendance history attached (required if L1 is checked).

L2Student is not under any type of attendance or Loss of Credit contract.

Student’s intake date:Click here to enter a date. At 9:00 a.m. P/G Initials ______

(Parents understand failure to attend intake may result in truancy charges filed against them with local government agency)

Projected exit date (Refer to intake schedule):Click here to enter a date.P/G Initials ______

Due Process and appeals rights and procedures have been explained to parents. P/G Initials _____

Other special needs/information: P/G Initials ______

Parent’s Signature ______Date

Administrator’s Signature ______Date

Witness/Other Signature ______Date

SOCORRO INDEPENDENT SCHOOL DISTRICT

KEYS (DAEP) REMOVAL NOTICE LETTER

Use Campus Letterhead

Date:______

Name: ______

Address: ______

City, State, Zip Code: El Paso, TX ______Re: ______

Dear ______:

On (date), I approved the removal to a disciplinary alternative education program of your (son/daughter), (name), from (school). (Student name) will be eligible to return to (school) on (withdrawal date from DAEP).

In addition, I have forwarded notice of the removal to the Principal at KEYS Academy for implementation of the District’s Discipline Alternative Education Program for (student’s name). Your appointment is set for (date and time) at KEYS Academy, 12380 Pine Springs El Paso, TX 79927.

The District’s disciplinary decisions are based on a reasonable belief that a violation occurred. Reasonable belief may be based upon, but not limited to the following: witnesses, affidavits, arrest warrants, and judicial dispositions. Please be advised that a no-bill by a Grand Jury, or a reduction or acquittal of charges by a court, while taken into serious consideration, may not in and of itself negate the District’s reasonable belief.

If you do not agree with this decision, an appeal form must be filed within 3 school calendar days of the date of this removal notice to:

Level I: Principal

Level II: Appropriate Assistant Superintendent

Lucia Borrego, Assistant Superintendent/Elementary (915) 937-0316

Carmen Crosse, Assistant Superintendent/Secondary (915) 937-0301

Level III: Appeals Committee: Marivel Macias, Assistant Superintendent/ Administrative

Services/Administrative Services (915) 937-0054

Attached is an appropriate form for this purpose should you desire to appeal.

If you need any further assistance, please contact me at ______.

Sincerely,

______

Asst. Principal’s Signature Campus Behavior Coordinator or Principal’s Signature

Note: If your student receives Special Education or 504 services, the IEP/504 Plan will be implemented by the Disciplinary Alternative Education Program.

SOCORRO INDEPENDENT SCHOOL DISTRICT

KEYS (DAEP) NON-REMOVAL LETTER

Use Campus Letterhead

Date: ______

Name: ______

Address: ______

City, State, Zip Code: El Paso, TX ______Re: ______

Dear ______:

This letter is to inform you that you (son/daughter) will not be removed to a Disciplinary Alternative Education Program as a result of the removal conference held on (date).

(Student’s name) is eligible to continue at (school) and any absences accrued will not be counted against (student’s name) if the class work missed is satisfactorily completed by (date). This class work will be counted for full course credit.

If you need any further information, please contact me at (telephone number).

Sincerely,

______

Assistant Principal’s Signature Campus Behavior Coordinator or Principal’s Signature

SOCORRO INDEPENDENT SCHOOL DISTRICT

KEYS (DAEP) APPEAL FORM

Student’s Name: ______Date: ______

School: ______Home Phone: ______

Address: ______Work Phone: ______

The Socorro Independent School District’s Student Code of Conduct provides for the appeal of a student’s removal to the Discipline Alternative Educational Program. An appeal form must the filed within 3 school calendar days of the date of the removal notice to the appropriate administrator at the level indicated below. Untimely appeals will not be considered.

Level I: Principal

Level II: Appropriate Assistant Superintendent

Lucia Borrego, Assistant Superintendent/Elementary (915) 937-0316

Carmen Crosse, Assistant Superintendent/Secondary (915) 937-0301

Level III: Appeals Committee: Marivel Macias, Assistant Superintendent/ Administrative

Services/Administrative Services (915) 937-0054

Within ten school calendar days of the receipt of your appeal, a meeting at the appropriate level will be scheduled to consider your appeal. You will receive written notice of the decision resulting from this appeal.

Were you notified of the hearing?Yes: ____ No: ____

Did you and/or your child attend the hearing?Yes: ____ No: ____

Were you and your child given an opportunity to present his/her side of the situation during the hearing?

Yes: ____ No: ____

Are you in agreement that the event occurred:Yes: ____ No: ____

Did your son/daughter admit involvement in the alleged offense(s)?Yes: ____ No: ____

If “No,” what is your child’s side of the situation? (Please attach additional information if needed)

______

Please explain the reason for the appeal:

______

Parent’s Signature: ______Date: ______

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