Completing and Submitting Discipline Packets2014-2015

Mr. Tony MajorsChief Support Services Officer

Mr. Alvin JonesExecutive Director of Cluster Support

Dr. Lisa C. CurrieDirector of Discipline for South Side Schools & Pearl Cohn

Cluster

Mr. Bruce CurtisDirector of Discipline for North Side Schools

Discipline Office Expulsion Referral Form

Once the decision has been made to expel a student, an expulsion referral form(intake) should be submitted to the discipline office the same day (via fax, scan, etc.)

The entire discipline packet should be sent to the Discipline Office within 3 days of the expulsion date( via mail, scan, fax, etc.)

It is no longer necessary to complete the Discipline Packet Electronically.

This process allows us to:• Log the information into our data base(s)• Discuss options with parents• Schedule appeal hearings

SUPPORT SERVICES DEPARTMENT DISCIPLINE OFFICE EXPULSION

REFERRAL FORM

ALL INFORMATION MUST BE COMPLETED INTAKE DATE:

STUDENT NAME:

SEX: RACE: GRADE: AGE: D.O.B. ID #:

PARENT/GUARDIAN/OTHER:

ADDRESS:

CITY: STATE: ZIP:

(H) (W) (CELL) OTHER

SCHOOL: SCHOOL CODE: PHONE:

Expelling Principal: PHONE:

Expulsion Codes: _

First day of Expulsion:

Recommended Length of Expulsion:

Number of Previous Referrals for current school year: Is student EE: Y o r N M a n ife s ta tio n D a te :

D o es s tu d en t h av e a 5 0 4 P la n : Y o r N M a n ife s ta tio n D a te : Is First Time Offenders Program being offered? Y o r N Description of Incident Be Specific:

SUPPORT SERVICES DEPARTMENT DISCIPLINE OFFICE EXPULSION

REFERRAL FORM 2013 2014‐

ALL INFORMATION MUST BE COMPLETED INTAKE DATE: 8/1/2013

STUDENT NAME: Jane Doe

SEX: F RACE: W GRADE: 11 AGE: 17 D.O.B. 8/1/96 ID #: 000000000000

PARENT/GUARDIAN/OTHER: Mr. and Mrs. Doe

ADDRESS: 100 America Dr.

CITY: Nashville STATE: TN ZIP: 55555

(H) 615-555-1048 (W) (CELL) 615-555-1908 OTHER

SCHOOL: Hillsboro SCHOOL CODE: 435 PHONE: 615-298-8400

Expelling Principal: Dr. Jamie Jenkins PHONE:

Expulsion Codes: _ 0 8 -1 3 , 3 0 -1 3

First day of Expulsion: 8 /1 /2 0 1 3

Recommended Length of Expulsion: 2 n d 9 w e ek s g rad in g p e rio d 2 0 1 3

Number of Previous Referrals for current school year: ____________ Is student EE: Y o r N M an ife s ta tio n D a te : _ _ _ _ _ _ _ _ _ _ _

D o es s tu d en t h av e a 5 0 4 P lan : Y o r N M an ife s ta tio n D a te : S ch ed u led fo r 8 /5 /1 3 Is First Time Offenders Program being offered? Y o r N Description of Incident Be Specific: _ Jan e b ec a m e in c re as in g ly ag ita ted d u rin g lu n ch w h ile a rg u in g w ith an o th e r s tu d en t. W h en in s tru c ted b y ad m in is tra tio n to re fra in fro m cu rs in g an d th re a ten in g th e o th e r s tu d en t, Jan e re fu sed . S h e th en ju m p e d o v e r th e c a fe te ria tab le an d b eg an to h it th e o th e r s tu d en t in th e fa ce rep e a ted ly . S h e h ad to b e re s tra in ed b y S R O s an d w a s tran sp o rted to Ju v en ile .

 

EXPULSION/REMANDMENT PRINCIPAL’S CHECKLIST AND

STUDENT INFORMATION

STUDENT _________________________ I.D.________________________ D.O.B. _____________ SCHOOL __________________________________ DATE ________________ WHEN YOU HAVE MADE THE DECISION TO EXPEL A STUDENT FOR MORE THAN TEN (10) DAYS, FOLLOW THIS CHECKLIST: _____1. CHECK THE STUDENT’S CUM TO DETERMINE IF :

______ The student has a current IEP

______ The student has a current 504

______ The student is in the process of being evaluated

______ An evaluation for the student has been requested

_____2. FOR EXCEPTIONAL EDUCATION STUDENTS, A MANIFESTATION DETERMINATION MEETING MUST BE HELD AS SOON AS POSSIBLE. SEND A COPY OF THE MANIFESTATION DETERMINATION PAPERS TO YOUR DISCIPLINE COORDINATOR

_____3. NOTIFY THE PARENT IMMEDIATELY CONCERNING THE STUDENT’S EXPULSION,

EVIDENCE GATHERED, AND THE RIGHT TO AN APPEAL

_____4. EMAIL INTAKE FORM TO YOUR DISCIPLINE COORDINATOR

_____5. EMAIL THE FOLLOWING INFORMATION TO YOUR COORDINATOR NO LATER THAN

THE THIRD DAY OF EXPULSION

_______ Notice of Expulsion of More than Ten (10) Days

_______ Power School/Chancery Notice of Disciplinary Action

_______ Notice of Expulsion and Right to Appeal

_______ Exceptional Education Checklist

_______ Principal, student, and any witness Statements

_______ Student’s Report Card, Transcript and Schedule

_______ Student Behavior and Attendance

FAX (271-2586) TO YOUR DISCIPLINE COORDINATOR UPON COMPLETION OF MD

_______ Manifestation Determination papers for Exceptional Ed. students

_______ Alternative Learning Center placement form for Exceptional Ed. students

METROPOLITAN NASHVILLE PUBLIC SCHOOLS 2 NOTICE OF EXPULSION OF MORE THAN TEN (10) SCHOOL DAYS

Student Name School Student

ID Code

Gender Male □Female □ Grade Ethnicity White □ Black □ Hispanic □ Asian □ Other □

1. Does the student have an IEP? □ Yes □ No 2. Does the student have a 504 Plan? □ Yes □ No

3. Is the student in the process of being assessed to determine if the student has a disability? □ Yes □ No 4. Prior number of out-of-school suspension incidents (__________) and days (__________) this school year:

(If the answer to #1, #2, or #3 is yes and answer to #4 is 5 or more, refer to Principal’s Handbook) Parent/Guardian: _____________________________________________ Date of Offense: _________________________ I regret to inform you that in accordance with Tennessee State Law and/or the policies of the Metropolitan Nashville Public Schools (MNPS), your son/daughter has been expelled from MNPS for the reason(s) checked below. The Student is not to be on any MNPS campus or attend any MNPS activity until readmitted from expulsion.

OFFENSE(S)

Code/Codes:_______________________ □ ZT-Possession of a handgun/pistol/rifle/shotgun/firearm

□ ZT-Unlawful use/possession of a drug/legend or barbital drug

□ ZT-Assault of a teacher/school employee/SRO

□ ZT-Explosives – possession of explosives any incendiary devices

□ Off-campus criminal behavior resulting in a felony charge

□ Two or more students initiating an attack on an individual student

□ Other Codes being used: ________________________

□ Bomb Threat

□ Willful/persistent violation of school rules

_________________________________________

For additional information, see TCA 49-6-3401 and 49-6-4216

Contact Attempted: Y or N: Date/Time_______________ Message Left: Y or N: Phone Number:____________ Person Contacted :_____________________________Outcome:______________________________________________

Were Due Process options and evidence collected regarding expulsion discussed with Parent: Y or N □ In Person:

□Via Phone:

Date Mailed to Guardian: _________________ and/or Date Emailed to Guardian: ________________ Student and/or Parent Signature:____________________________________________________Date_______________

Brief summary of facts necessitating the suspension. (Attached)

School Official’s Signature

Date of Decision to Expel

Telephone Number

Date Expulsion Begins

Date Expulsion Ends

Date Student May Return

LEVEL I APPEAL PROCESS

All expulsions may be appealed to your Discipline Coordinator. The request may be made verbally or in writing. To Schedule an appeal contact ____________________________________________at ________615-259-8757________. Discipline Coordinator Phone

The appeal must be requested within five (5) working days of the notification of expulsion. Revised 7/08/13

METROPOLITAN NASHVILLE PUBLIC SCHOOLS 2 NOTICE OF EXPULSION OF MORE THAN TEN (10) SCHOOL DAYS

Student Name Jane Doe School Hillsboro Student

ID Code 0000000000

Gender Male □ Female x Grade 11 Ethnicity White x Black □ Hispanic □ Asian □ Other □

1. Does the student have an IEP? □ Yes x No 2. Does the student have a 504 Plan? X Yes □ No

3. Is the student in the process of being assessed to determine if the student has a disability? □ Yes x No 4. Prior number of out-of-school suspension incidents (___0_______) and days (_____0_____) this school year:

(If the answer to #1, #2, or #3 is yes and answer to #4 is 5 or more, refer to Principal’s Handbook) Parent/Guardian: __Mr. and Mrs. Doe________________________________ Date of Offense: 8/1/2013 I regret to inform you that in accordance with Tennessee State Law and/or the policies of the Metropolitan Nashville Public Schools (MNPS), your son/daughter has been expelled from MNPS for the reason(s) checked below. The Student is not to be on any MNPS campus or attend any MNPS activity until readmitted from expulsion.

OFFENSE(S) Code/Codes:__08-13 & 30-13____________________ □ ZT-Possession of a handgun/pistol/rifle/shotgun/firearm

□ ZT-Unlawful use/possession of a drug/legend or barbital drug

□ ZT-Assault of a teacher/school employee/SRO

□ ZT-Explosives – possession of explosives any incendiary devices

□ Off-campus criminal behavior resulting in a felony charge

□ Two or more students initiating an attack on an individual student

□ Other Codes being used: ________________________

□ Bomb Threat

□ Willful/persistent violation of school rules _________________________________________ For additional information, see TCA 49-6-3401 and 49-6-4216

Contact Attempted: Y or N: Date/Time_8/1/13_@ 9:30 AM____________ Message Left: Y or N: Phone Number:__615-555-1048__________ Person Contacted :__Mr. Doe____________________ Outcome: Spoke with father regarding expulsion Were Due Process options and evidence collected regarding expulsion discussed with Parent: Y or N □ In Person: □Via Phone Date Mailed to Guardian: ______8/1/13___________ and/or Date Emailed to Guardian: ________________ Student and/or Parent Signature____________________________________________________Date_______________ Brief summary of facts necessitating the suspension. (Attached) School Official’s Signature

Dr. Jenkins Date of Decision to Expel

8/1/13 Telephone Number

298-8400

Date Expulsion Begins

8/1/13 Date Expulsion Ends

12/20/2013 Date Student May Return

1/7/2014

LEVEL I APPEAL PROCESS

All expulsions may be appealed to your Discipline Coordinator. The request may be made verbally or in writing. To Schedule an appeal contact ____________________________________________at ________615-259-8757________. Discipline Coordinator Phone

The appeal must be requested within five (5) working days of the notification of expulsion. Revised 7/08/13

INCLUDE POWER SCHOOL/CHANCERY

NOTICE

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NOTICE OF EXPULSION AND LEGAL RIGHT TO APPEAL

COPY TO: STUDENT’S PARENTS AND YOUR DISCIPLINE COORDINATOR

DEAR: ____________________________________________________________ DATE: ________________ You are hereby notified that ______________________________________ allegedly violated Code __________ and Code ____________ of the Metropolitan Public Schools which is supported by the following evidence: The seriousness of the violation(s) of the code(s) is such that the penalty for the violation(s) has resulted in the expulsion of your son/daughter for more than ten (10) school days. Alternative Learning Centers are available for elementary, middle, and high school students who have been expelled (suspension of more than 10 days). Attendance for expelled elementary and middle school students is mandatory. All expelled high school students have the opportunity to attend an Alternative Learning when space is available. To enroll you child please contact ___________________________Discipline Coordinator at 615-259-8757. If you wish to appeal the decision of the executive principal, you may request a Level One Appeal with the Disciplinary Hearing Authority (DHA). To schedule a Level One Appeal, contact ______________________, the Discipline Coordinator, by calling 615-259-8757. YOU MUST REQUEST THE APPEAL HEARING WITH YOUR DISCIPLINE COORDINATOR WITHIN FIVE (5) WORKING DAYS OF ACTUAL OR WRITTEN NOTICE OR YOUR HEARING IS AUTOMATICALLY WAIVED. A record shall be kept of the hearing. You may be accompanied by your attorney, or another adult representative, and make statements or offer evidence on your son’s/daughter’s behalf. If you choose to be accompanied by an attorney, please notify our office immediately in order for us to secure representation from the Metro Legal Department for the hearing. At the hearing, your son/daughter will be given an opportunity to give his/her version of the facts and to offer testimony or other evidence in his/her behalf. Information relative to this case is available at the appeal hearing and, upon request, can be made available to you or your representative. Prior to the hearing you may request a copy of this information by contacting the Discipline Office at 2601 Bransford Avenue. However, you will need to call 259-8757, in advance, to arrange to pick up a copy of this information. You have the right to appeal any decision made by the Discipline Hearing Authority by requesting a Level Two Appeal. Forms will be provided at the end of the Level One appeal if the expulsion is to be further appealed. _____________________________________ _______________________ ___________ ______________ EXECUTIVE PRINCIPAL’S SIGNATURE PARENT SIGNATURE DATE PHONE

4

NOTICE OF EXPULSION AND LEGAL RIGHT TO APPEAL

COPY TO: STUDENT’S PARENTS AND YOUR DISCIPLINE COORDINATOR

DEAR: ______Mr. and Mrs. Doe__________________________ DATE: __8/1/13_______ You are hereby notified that ____Jane Doe allegedly violated Code ___08-13__ and Code _30-13_of the Metropolitan Public Schools which is supported by the following evidence: Jane became increasingly agitated during lunch while arguing with another student. When instructed by administration to refrain from cursing and threatening the other student, Jane refused. She then jumped over the cafeteria table and began to hit the other student in the face repeatedly. She had to be restrained by SROs and was transported to Juvenile. The seriousness of the violation(s) of the code(s) is such that the penalty for the violation(s) has resulted in the expulsion of your son/daughter for more than ten (10) school days. Alternative Learning Centers are available for elementary, middle, and high school students who have been expelled (suspension of more than 10 days). Attendance for expelled elementary and middle school students is mandatory. All expelled high school students have the opportunity to attend an Alternative Learning when space is available. To enroll you child please contact _____________Discipline Coordinator at 615-259-8757. If you wish to appeal the decision of the executive principal, you may request a Level One Appeal with the Disciplinary Hearing Authority (DHA). To schedule a Level One Appeal, contact ______________________, the Discipline Coordinator, by calling 615-259-8757. YOU MUST REQUEST THE APPEAL HEARING WITH YOUR DISCIPLINE COORDINATOR WITHIN FIVE (5) WORKING DAYS OF ACTUAL OR WRITTEN NOTICE OR YOUR HEARING IS AUTOMATICALLY WAIVED. A record shall be kept of the hearing. You may be accompanied by your attorney, or another adult representative, and make statements or offer evidence on your son’s/daughter’s behalf. If you choose to be accompanied by an attorney, please notify our office immediately in order for us to secure representation from the Metro Legal Department for the hearing. At the hearing, your son/daughter will be given an opportunity to give his/her version of the facts and to offer testimony or other evidence in his/her behalf. Information relative to this case is available at the appeal hearing and, upon request, can be made available to you or your representative. Prior to the hearing you may request a copy of this information by contacting the Discipline Office at 2601 Bransford Avenue. However, you will need to call 259-8757, in advance, to arrange to pick up a copy of this information. You have the right to appeal any decision made by the Discipline Hearing Authority by requesting a Level Two Appeal. Forms will be provided at the end of the Level One appeal if the expulsion is to be further appealed. _____________________________________ _______________________ ___________ ______________ EXECUTIVE PRINCIPAL’S SIGNATURE PARENT SIGNATURE DATE PHONE

Code ChangesAdditional/Removal of Codes

Mr. Alvin Jones

New Codes for the 2014-2015 School Year:

• 04-14(24) Leaving School Campus• 05-14(24) Blocking access to or illegally occupying any school property• 06-14(24) Refusal to obey or take punishment• 07-14(24) Disrespect• 08-14(24) Profane or Indecent Language • 09-14(24) Inappropriate dress• 10-14(24) Possessing, firing, or displaying fireworks• 11-14(24) Fleeing or refusal to submit to a drug or weapons search or scan• 12-14(24) Gambling• 13-14(24) Cheating, lying, falsifying records• 14-14(24) Counterfeit money• 57-14(24) Under the Influence of any drug• 84-13 Bullying based on Race, Color, or National Origin• 85-14 Bullying based on Sex or Gender• 86-14 Bullying based on Disability• 87-14 Bullying through the use of technology• 88-14 Bullying motivated by other reasons

32-14(32) Assault of staff (is no longer a ZT offense and does NOT require a Mandatory 180 day Expulsion)Former Code 08 (Conduct pred. to good order) No longer exist

MNPS DISCIPLINE OFFICE Exceptional Education Information Checklist

S tu d e n t Na m e S ch o o l S tu d e n t

ID C o d e

Date of Bir th Date of

In c iden t T o d a y 's Da te

1. Does this student receive exceptional education services? Yes No

If yes, what is the student’s handicapping condition?

If yes, how many days has the student been suspended this year?

If yes, before a principal upholds an expulsion of eleven (11) days or more, a manifestation determination must be held. A copy of the student’s manifestation determination paperwork and current IEP must be submitted.

2. Does this student have a Section 504 Service Plan? Yes No

If yes, what is the reason for the 504 plan?

If yes, before a principal upholds an expulsion of eleven (11) days or more, a manifestation determination must be held. Your Support Team (S-Team) must meet and review the service plan. A copy of the student’s manifestation determination paperwork and current 504 plan must be submitted.

3. Has this student been referred for exceptional education services? Yes No

If yes, an evaluation must be completed prior to scheduling a hearing. Contact your school psychologist.

4. Is this student suspected of having an exceptional education disability? Yes No For example: Has an evaluation been requested? Has a teacher expressed concern about the behavior or academic performance of the child?

If yes, the Support Team (S-Team) must meet to determine if an evaluation for exceptional education services is needed.

What Does the Investigation Process Look Like?• Principal Statement (the description of the incident provided on the

intake form is not sufficient for the principal’s statement).• The Principal’s statement needs to be specific regarding the incident• If applicable there should be information provided detailing previous history the student

has regarding the expellable code violation(s), and also any previous interventions used by the administration to address the expellable code violation(s), etc.

• Administrators are to provide information regarding ALL parties involved in the incident(regardless if other participant(s) were your students or belonging to another administrator in your building).

• Specifically in the event of an assault, administrators should provide detailed information regarding any injuries sustained by the other individual(s).

• Expelled Student Statement• If the student is not able to provide a statement the day of the incident, he/she

should be given the opportunity to provide one at a later date(email, transcribed, delivered to school by parent(guardian), etc.

• If the student refuses to write a statement, that should be noted on the statement form and included in the packet.

• Witness Statement(s)• Witness statements should be taken from all parties who witnessed or have

knowledge of the incident.

Expelling Exception Education Students

• An intake form and necessary parts of the discipline packet should be completed and submitted BEFORE the manifestation meeting (please do not wait for the decision from the manifestation meeting before starting the process.) Once you decide to expel, the process should begin then. This includes students that are being referred to the First Time Offenders Program.

• The ALC Placement Form is to be completed at the time of the manifestation meeting.

• A copy of the ALC placement form and manifestation paperwork are the only things to be sent to discipline at the conclusion of the meeting.

• Please DO NOT sends copies of the IEP to discipline. The IEP is to be sent to the ALC the student selected.

Purpose of an Informal Hearing

• The Purpose of an Informal hearing is a proactive effort on behalf of the school and district to address undesired behaviors and academic concerns while providing interventions that will hopefully prevent further disciplinary actions such as suspension or expulsion. In reducing the number of expulsions, it is the goal of the district to also reduce the number of drop outs while hoping to increase the graduation rate.

• Less than 10% of 270 informal hearings conducted during the 2013-2014 school year resulted in an actual student expulsion.

Purpose of the Formal Appeal Hearing

• To provide the student and/or parent their due process right to dispute the school’s decision to expel(the appeals process should be explained thoroughly to the parent at the time the expulsion is discussed).

• To provide the expelling school an opportunity to provide justification or point of rational for the expulsion(Not to inform the committee or parent that they do not agree with the expulsion but had no choice other than to expel the student).

• To provide an opportunity for the Discipline Review Board(DRB) to hear the evidence regarding the expulsion and to make a determination as to whether the evidence provided supports the expulsion

• To provide the DRB an opportunity to make a determination(based on the evidence) as whether the expulsion should be upheld, reversed or modified(except for in the case of a Zero Tolerance (ZT) offense).

• In the case of a ZT offense, the DRB will only make the decision to uphold or reverse the expulsion

•

ALTERNATIVE LEARNING CENTER (ALC) PLACEMENT FORM

Student____________________ Date of Suspension___________________

School_________________________ Principal___________________________

*All students currently served under Exceptional Education must be offered an Alternative School Placement. Also, it should be determined whether the student will require special transportation to the ALC.

ALC ASSIGNMENTS

C Bass Learning Center – Mr. Henry Johnson (9-12) (#298-3278) Fax (#298-3776)

B Johnson Learning Center – Sharon Braden (9-12) (#650-5381) Fax (#650-5384)

Middle School Learning Centers- TBD

CONTACT THE DISCIPLINE OFFICE AT 259-8757 FOR QUESTIONS REGARDING STUDENT PLACEMENTS.

Student Signature__________________________ Date________________

Parent/Guardian Signature___________________ Contact #____________

OR

Notice of ALC Placement sent certified mail Date________________

Special Transportation may be required (Must be previously written into the IEP)

A COPY OF THE ALC PLACEMENT FORMS ARE TO BE FAXED TO THE DISCIPLINE OFFICE (271-2586) AT THE CONCLUSION OF THE MANIFESTATION DETERMINATION MEETING.

First Time Drug Offender ProgramsThe First Time Drug Offender Program (FTDO) is a modification to an expulsion not a nullification and therefore requires the same action be

taken as with any other expulsion.

• A Discipline Packet should be completed and sent to discipline.• Parent should be notified of the student’s eligibility for FTDO at the

time they are notified of the expulsion• All paperwork(with the exception of the Chancery notice) should be

completed to reflect a calendar year expulsion.

• There should be one Chancery Notice that reflects a 5 day suspension and another reflecting the Drug Prevention Program under the same incident #. If the student does not attend the FTDO class, you will be notified by Stephanie Davis at which time the Chancery notice should be revised to reflect a calendar year(180 day) expulsion and a copy should be sent to Discipline.

IMPORTANT CHANGE!• Stephanie Davis’ office is now located in Discipline• All FTDO referral forms should be signed by a parent before being faxed to

Stephanie Davis in the Discipline Office at (271-2586).

Most Common Concerns of Parents

• Parents stating that they never received the paper stating that their child was expelled. (There are multiple places to document how and when the parent was contacted/notified that their child has been expelled from school on the Notice of Expulsion of More than 10 days form).

• Parents stating that were not made aware of the FTDO option or that it was not explained clearly.(Spanish speaking families should have the information translated by the expelling school and given the Spanish version of the form).

• Parents stating that the DUE PROCESS and/or RIGHT TO APPEAL information was not clearly explained.(At the Director’s discretion, this may lead to an appeal hearing being scheduled after the 5 day window in which it is to be requested.

Questions

• Lisa.currie@mnps.org• Bruce.curtis@mnps.org