NISD Student Code of Conduct
bull Category I - Offense for which a student SHALL BE expelled
bull Category II - Offense for which a student MAY BE expelled or SHALL BE placed in a DAEP
bull Category III - Offense for which a student SHALL BE placed in a DAEP
bull Category IV - Offense for which a student MAY BE placed in a DAEP or suspended
Category I Offenses Mandatory Expulsion
bull Firearmbull Illegal Knife Club or Prohibited
Weaponbull Texas Penal Code Title V Felony
(offenses against a person)bull Felony Drug or Alcoholbull Arson
Category II ndash Discretionary ExpulsionMandatory DAEP
bull Persistent Misbehavior while DAEPbull Felony Criminal Mischiefbull Assault wBodily Injury against Staffbull False Alarm bull Terroristic Threatbull Misdemeanor DrugAlcoholbull Felony WeaponTitle V Felony within
300 feet of school property
Category III ndash Mandatory DAEP
bull Assault w Bodily Injury to studentbull Public LewdnessIndecent Exposurebull Deferred prosecution jury finding or
reasonable belief that a Title V Felony has been committed regardless of location
Category IV ndash Discretionary DAEP andor Suspension
bull Persistent Misbehaviorbull Serious Fightbull Profanity directed at staffbull Extreme Flagrant Insubordinationbull Theftbull Criminal Mischiefbull AUP Violationbull Disruption to the school environmentbull Reasonable belief that a Non-Title V Offense
has been committed regardless of location
OVERALL SPECIAL EDUCATION HEARINGS
SPECIAL EDUCATION HEARINGS
345276
0100
200300400
School Year
NUM
BER
OF
SPEC
IAL
ED
HEAR
ING
S 200809 200910
SPECIAL EDUCATION HEARINGS BY CATEGORY
Special Education Hearings By Category
020406080
100120140160180200
Cat I Cat II Cat III Cat IV No ViolCategory
200809
200910
ELEMENTARY SCHOOL HEARINGS (ALL CATS)
Elementary School Hearings
02468
1 2 3 4
Category
Num
ber o
f He
arin
gs 2008200920092010
CATEGORY I HEARINGS
Category 1 Hearings
0
1
2
3Holmes
Warren
NAHS
Rawlinson
Clark
Zachary
Stevens
Stevenson
School
Num
ber
of
Hear
ings
20082009
20092010
CATEGORY II HEARINGSMIDDLE SCHOOL
Category 2 Hearings
Connally
Garcia
Hobby
JeffersonJonesJordanLunaNeff
Pease
Raw
linsonRayburn
Ross
Rudder
Stevenson
Stinson
Vale
Zachry
Middle School
20082009
20092010
CATEGORY II HEARINGSHIGH SCHOOL
Category 2 Hearings
05
10152025
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber
of
Hea
ring
s 2008200920092010
CATEGORY III HEARINGS MIDDLE SCHOOL
Category 3 Hearings
0246810
1214
Middle School
Num
ber o
f He
arin
gs
20082009
20092010
CATEGORY III HEARINGSHIGH SCHOOL
Category 3 Hearings
0123456
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings
20082009
20092010
CATEGORY IV HEARINGSMIDDLE SCHOOL
Category 4 Hearings
012345678
Middle School
Num
ber o
f He
arin
gs 20082009
20092010
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
Category I Offenses Mandatory Expulsion
bull Firearmbull Illegal Knife Club or Prohibited
Weaponbull Texas Penal Code Title V Felony
(offenses against a person)bull Felony Drug or Alcoholbull Arson
Category II ndash Discretionary ExpulsionMandatory DAEP
bull Persistent Misbehavior while DAEPbull Felony Criminal Mischiefbull Assault wBodily Injury against Staffbull False Alarm bull Terroristic Threatbull Misdemeanor DrugAlcoholbull Felony WeaponTitle V Felony within
300 feet of school property
Category III ndash Mandatory DAEP
bull Assault w Bodily Injury to studentbull Public LewdnessIndecent Exposurebull Deferred prosecution jury finding or
reasonable belief that a Title V Felony has been committed regardless of location
Category IV ndash Discretionary DAEP andor Suspension
bull Persistent Misbehaviorbull Serious Fightbull Profanity directed at staffbull Extreme Flagrant Insubordinationbull Theftbull Criminal Mischiefbull AUP Violationbull Disruption to the school environmentbull Reasonable belief that a Non-Title V Offense
has been committed regardless of location
OVERALL SPECIAL EDUCATION HEARINGS
SPECIAL EDUCATION HEARINGS
345276
0100
200300400
School Year
NUM
BER
OF
SPEC
IAL
ED
HEAR
ING
S 200809 200910
SPECIAL EDUCATION HEARINGS BY CATEGORY
Special Education Hearings By Category
020406080
100120140160180200
Cat I Cat II Cat III Cat IV No ViolCategory
200809
200910
ELEMENTARY SCHOOL HEARINGS (ALL CATS)
Elementary School Hearings
02468
1 2 3 4
Category
Num
ber o
f He
arin
gs 2008200920092010
CATEGORY I HEARINGS
Category 1 Hearings
0
1
2
3Holmes
Warren
NAHS
Rawlinson
Clark
Zachary
Stevens
Stevenson
School
Num
ber
of
Hear
ings
20082009
20092010
CATEGORY II HEARINGSMIDDLE SCHOOL
Category 2 Hearings
Connally
Garcia
Hobby
JeffersonJonesJordanLunaNeff
Pease
Raw
linsonRayburn
Ross
Rudder
Stevenson
Stinson
Vale
Zachry
Middle School
20082009
20092010
CATEGORY II HEARINGSHIGH SCHOOL
Category 2 Hearings
05
10152025
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber
of
Hea
ring
s 2008200920092010
CATEGORY III HEARINGS MIDDLE SCHOOL
Category 3 Hearings
0246810
1214
Middle School
Num
ber o
f He
arin
gs
20082009
20092010
CATEGORY III HEARINGSHIGH SCHOOL
Category 3 Hearings
0123456
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings
20082009
20092010
CATEGORY IV HEARINGSMIDDLE SCHOOL
Category 4 Hearings
012345678
Middle School
Num
ber o
f He
arin
gs 20082009
20092010
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
Category II ndash Discretionary ExpulsionMandatory DAEP
bull Persistent Misbehavior while DAEPbull Felony Criminal Mischiefbull Assault wBodily Injury against Staffbull False Alarm bull Terroristic Threatbull Misdemeanor DrugAlcoholbull Felony WeaponTitle V Felony within
300 feet of school property
Category III ndash Mandatory DAEP
bull Assault w Bodily Injury to studentbull Public LewdnessIndecent Exposurebull Deferred prosecution jury finding or
reasonable belief that a Title V Felony has been committed regardless of location
Category IV ndash Discretionary DAEP andor Suspension
bull Persistent Misbehaviorbull Serious Fightbull Profanity directed at staffbull Extreme Flagrant Insubordinationbull Theftbull Criminal Mischiefbull AUP Violationbull Disruption to the school environmentbull Reasonable belief that a Non-Title V Offense
has been committed regardless of location
OVERALL SPECIAL EDUCATION HEARINGS
SPECIAL EDUCATION HEARINGS
345276
0100
200300400
School Year
NUM
BER
OF
SPEC
IAL
ED
HEAR
ING
S 200809 200910
SPECIAL EDUCATION HEARINGS BY CATEGORY
Special Education Hearings By Category
020406080
100120140160180200
Cat I Cat II Cat III Cat IV No ViolCategory
200809
200910
ELEMENTARY SCHOOL HEARINGS (ALL CATS)
Elementary School Hearings
02468
1 2 3 4
Category
Num
ber o
f He
arin
gs 2008200920092010
CATEGORY I HEARINGS
Category 1 Hearings
0
1
2
3Holmes
Warren
NAHS
Rawlinson
Clark
Zachary
Stevens
Stevenson
School
Num
ber
of
Hear
ings
20082009
20092010
CATEGORY II HEARINGSMIDDLE SCHOOL
Category 2 Hearings
Connally
Garcia
Hobby
JeffersonJonesJordanLunaNeff
Pease
Raw
linsonRayburn
Ross
Rudder
Stevenson
Stinson
Vale
Zachry
Middle School
20082009
20092010
CATEGORY II HEARINGSHIGH SCHOOL
Category 2 Hearings
05
10152025
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber
of
Hea
ring
s 2008200920092010
CATEGORY III HEARINGS MIDDLE SCHOOL
Category 3 Hearings
0246810
1214
Middle School
Num
ber o
f He
arin
gs
20082009
20092010
CATEGORY III HEARINGSHIGH SCHOOL
Category 3 Hearings
0123456
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings
20082009
20092010
CATEGORY IV HEARINGSMIDDLE SCHOOL
Category 4 Hearings
012345678
Middle School
Num
ber o
f He
arin
gs 20082009
20092010
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
Category III ndash Mandatory DAEP
bull Assault w Bodily Injury to studentbull Public LewdnessIndecent Exposurebull Deferred prosecution jury finding or
reasonable belief that a Title V Felony has been committed regardless of location
Category IV ndash Discretionary DAEP andor Suspension
bull Persistent Misbehaviorbull Serious Fightbull Profanity directed at staffbull Extreme Flagrant Insubordinationbull Theftbull Criminal Mischiefbull AUP Violationbull Disruption to the school environmentbull Reasonable belief that a Non-Title V Offense
has been committed regardless of location
OVERALL SPECIAL EDUCATION HEARINGS
SPECIAL EDUCATION HEARINGS
345276
0100
200300400
School Year
NUM
BER
OF
SPEC
IAL
ED
HEAR
ING
S 200809 200910
SPECIAL EDUCATION HEARINGS BY CATEGORY
Special Education Hearings By Category
020406080
100120140160180200
Cat I Cat II Cat III Cat IV No ViolCategory
200809
200910
ELEMENTARY SCHOOL HEARINGS (ALL CATS)
Elementary School Hearings
02468
1 2 3 4
Category
Num
ber o
f He
arin
gs 2008200920092010
CATEGORY I HEARINGS
Category 1 Hearings
0
1
2
3Holmes
Warren
NAHS
Rawlinson
Clark
Zachary
Stevens
Stevenson
School
Num
ber
of
Hear
ings
20082009
20092010
CATEGORY II HEARINGSMIDDLE SCHOOL
Category 2 Hearings
Connally
Garcia
Hobby
JeffersonJonesJordanLunaNeff
Pease
Raw
linsonRayburn
Ross
Rudder
Stevenson
Stinson
Vale
Zachry
Middle School
20082009
20092010
CATEGORY II HEARINGSHIGH SCHOOL
Category 2 Hearings
05
10152025
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber
of
Hea
ring
s 2008200920092010
CATEGORY III HEARINGS MIDDLE SCHOOL
Category 3 Hearings
0246810
1214
Middle School
Num
ber o
f He
arin
gs
20082009
20092010
CATEGORY III HEARINGSHIGH SCHOOL
Category 3 Hearings
0123456
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings
20082009
20092010
CATEGORY IV HEARINGSMIDDLE SCHOOL
Category 4 Hearings
012345678
Middle School
Num
ber o
f He
arin
gs 20082009
20092010
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
Category IV ndash Discretionary DAEP andor Suspension
bull Persistent Misbehaviorbull Serious Fightbull Profanity directed at staffbull Extreme Flagrant Insubordinationbull Theftbull Criminal Mischiefbull AUP Violationbull Disruption to the school environmentbull Reasonable belief that a Non-Title V Offense
has been committed regardless of location
OVERALL SPECIAL EDUCATION HEARINGS
SPECIAL EDUCATION HEARINGS
345276
0100
200300400
School Year
NUM
BER
OF
SPEC
IAL
ED
HEAR
ING
S 200809 200910
SPECIAL EDUCATION HEARINGS BY CATEGORY
Special Education Hearings By Category
020406080
100120140160180200
Cat I Cat II Cat III Cat IV No ViolCategory
200809
200910
ELEMENTARY SCHOOL HEARINGS (ALL CATS)
Elementary School Hearings
02468
1 2 3 4
Category
Num
ber o
f He
arin
gs 2008200920092010
CATEGORY I HEARINGS
Category 1 Hearings
0
1
2
3Holmes
Warren
NAHS
Rawlinson
Clark
Zachary
Stevens
Stevenson
School
Num
ber
of
Hear
ings
20082009
20092010
CATEGORY II HEARINGSMIDDLE SCHOOL
Category 2 Hearings
Connally
Garcia
Hobby
JeffersonJonesJordanLunaNeff
Pease
Raw
linsonRayburn
Ross
Rudder
Stevenson
Stinson
Vale
Zachry
Middle School
20082009
20092010
CATEGORY II HEARINGSHIGH SCHOOL
Category 2 Hearings
05
10152025
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber
of
Hea
ring
s 2008200920092010
CATEGORY III HEARINGS MIDDLE SCHOOL
Category 3 Hearings
0246810
1214
Middle School
Num
ber o
f He
arin
gs
20082009
20092010
CATEGORY III HEARINGSHIGH SCHOOL
Category 3 Hearings
0123456
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings
20082009
20092010
CATEGORY IV HEARINGSMIDDLE SCHOOL
Category 4 Hearings
012345678
Middle School
Num
ber o
f He
arin
gs 20082009
20092010
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
OVERALL SPECIAL EDUCATION HEARINGS
SPECIAL EDUCATION HEARINGS
345276
0100
200300400
School Year
NUM
BER
OF
SPEC
IAL
ED
HEAR
ING
S 200809 200910
SPECIAL EDUCATION HEARINGS BY CATEGORY
Special Education Hearings By Category
020406080
100120140160180200
Cat I Cat II Cat III Cat IV No ViolCategory
200809
200910
ELEMENTARY SCHOOL HEARINGS (ALL CATS)
Elementary School Hearings
02468
1 2 3 4
Category
Num
ber o
f He
arin
gs 2008200920092010
CATEGORY I HEARINGS
Category 1 Hearings
0
1
2
3Holmes
Warren
NAHS
Rawlinson
Clark
Zachary
Stevens
Stevenson
School
Num
ber
of
Hear
ings
20082009
20092010
CATEGORY II HEARINGSMIDDLE SCHOOL
Category 2 Hearings
Connally
Garcia
Hobby
JeffersonJonesJordanLunaNeff
Pease
Raw
linsonRayburn
Ross
Rudder
Stevenson
Stinson
Vale
Zachry
Middle School
20082009
20092010
CATEGORY II HEARINGSHIGH SCHOOL
Category 2 Hearings
05
10152025
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber
of
Hea
ring
s 2008200920092010
CATEGORY III HEARINGS MIDDLE SCHOOL
Category 3 Hearings
0246810
1214
Middle School
Num
ber o
f He
arin
gs
20082009
20092010
CATEGORY III HEARINGSHIGH SCHOOL
Category 3 Hearings
0123456
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings
20082009
20092010
CATEGORY IV HEARINGSMIDDLE SCHOOL
Category 4 Hearings
012345678
Middle School
Num
ber o
f He
arin
gs 20082009
20092010
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
SPECIAL EDUCATION HEARINGS BY CATEGORY
Special Education Hearings By Category
020406080
100120140160180200
Cat I Cat II Cat III Cat IV No ViolCategory
200809
200910
ELEMENTARY SCHOOL HEARINGS (ALL CATS)
Elementary School Hearings
02468
1 2 3 4
Category
Num
ber o
f He
arin
gs 2008200920092010
CATEGORY I HEARINGS
Category 1 Hearings
0
1
2
3Holmes
Warren
NAHS
Rawlinson
Clark
Zachary
Stevens
Stevenson
School
Num
ber
of
Hear
ings
20082009
20092010
CATEGORY II HEARINGSMIDDLE SCHOOL
Category 2 Hearings
Connally
Garcia
Hobby
JeffersonJonesJordanLunaNeff
Pease
Raw
linsonRayburn
Ross
Rudder
Stevenson
Stinson
Vale
Zachry
Middle School
20082009
20092010
CATEGORY II HEARINGSHIGH SCHOOL
Category 2 Hearings
05
10152025
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber
of
Hea
ring
s 2008200920092010
CATEGORY III HEARINGS MIDDLE SCHOOL
Category 3 Hearings
0246810
1214
Middle School
Num
ber o
f He
arin
gs
20082009
20092010
CATEGORY III HEARINGSHIGH SCHOOL
Category 3 Hearings
0123456
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings
20082009
20092010
CATEGORY IV HEARINGSMIDDLE SCHOOL
Category 4 Hearings
012345678
Middle School
Num
ber o
f He
arin
gs 20082009
20092010
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
ELEMENTARY SCHOOL HEARINGS (ALL CATS)
Elementary School Hearings
02468
1 2 3 4
Category
Num
ber o
f He
arin
gs 2008200920092010
CATEGORY I HEARINGS
Category 1 Hearings
0
1
2
3Holmes
Warren
NAHS
Rawlinson
Clark
Zachary
Stevens
Stevenson
School
Num
ber
of
Hear
ings
20082009
20092010
CATEGORY II HEARINGSMIDDLE SCHOOL
Category 2 Hearings
Connally
Garcia
Hobby
JeffersonJonesJordanLunaNeff
Pease
Raw
linsonRayburn
Ross
Rudder
Stevenson
Stinson
Vale
Zachry
Middle School
20082009
20092010
CATEGORY II HEARINGSHIGH SCHOOL
Category 2 Hearings
05
10152025
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber
of
Hea
ring
s 2008200920092010
CATEGORY III HEARINGS MIDDLE SCHOOL
Category 3 Hearings
0246810
1214
Middle School
Num
ber o
f He
arin
gs
20082009
20092010
CATEGORY III HEARINGSHIGH SCHOOL
Category 3 Hearings
0123456
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings
20082009
20092010
CATEGORY IV HEARINGSMIDDLE SCHOOL
Category 4 Hearings
012345678
Middle School
Num
ber o
f He
arin
gs 20082009
20092010
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
CATEGORY I HEARINGS
Category 1 Hearings
0
1
2
3Holmes
Warren
NAHS
Rawlinson
Clark
Zachary
Stevens
Stevenson
School
Num
ber
of
Hear
ings
20082009
20092010
CATEGORY II HEARINGSMIDDLE SCHOOL
Category 2 Hearings
Connally
Garcia
Hobby
JeffersonJonesJordanLunaNeff
Pease
Raw
linsonRayburn
Ross
Rudder
Stevenson
Stinson
Vale
Zachry
Middle School
20082009
20092010
CATEGORY II HEARINGSHIGH SCHOOL
Category 2 Hearings
05
10152025
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber
of
Hea
ring
s 2008200920092010
CATEGORY III HEARINGS MIDDLE SCHOOL
Category 3 Hearings
0246810
1214
Middle School
Num
ber o
f He
arin
gs
20082009
20092010
CATEGORY III HEARINGSHIGH SCHOOL
Category 3 Hearings
0123456
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings
20082009
20092010
CATEGORY IV HEARINGSMIDDLE SCHOOL
Category 4 Hearings
012345678
Middle School
Num
ber o
f He
arin
gs 20082009
20092010
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
CATEGORY II HEARINGSMIDDLE SCHOOL
Category 2 Hearings
Connally
Garcia
Hobby
JeffersonJonesJordanLunaNeff
Pease
Raw
linsonRayburn
Ross
Rudder
Stevenson
Stinson
Vale
Zachry
Middle School
20082009
20092010
CATEGORY II HEARINGSHIGH SCHOOL
Category 2 Hearings
05
10152025
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber
of
Hea
ring
s 2008200920092010
CATEGORY III HEARINGS MIDDLE SCHOOL
Category 3 Hearings
0246810
1214
Middle School
Num
ber o
f He
arin
gs
20082009
20092010
CATEGORY III HEARINGSHIGH SCHOOL
Category 3 Hearings
0123456
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings
20082009
20092010
CATEGORY IV HEARINGSMIDDLE SCHOOL
Category 4 Hearings
012345678
Middle School
Num
ber o
f He
arin
gs 20082009
20092010
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
CATEGORY II HEARINGSHIGH SCHOOL
Category 2 Hearings
05
10152025
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber
of
Hea
ring
s 2008200920092010
CATEGORY III HEARINGS MIDDLE SCHOOL
Category 3 Hearings
0246810
1214
Middle School
Num
ber o
f He
arin
gs
20082009
20092010
CATEGORY III HEARINGSHIGH SCHOOL
Category 3 Hearings
0123456
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings
20082009
20092010
CATEGORY IV HEARINGSMIDDLE SCHOOL
Category 4 Hearings
012345678
Middle School
Num
ber o
f He
arin
gs 20082009
20092010
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
CATEGORY III HEARINGS MIDDLE SCHOOL
Category 3 Hearings
0246810
1214
Middle School
Num
ber o
f He
arin
gs
20082009
20092010
CATEGORY III HEARINGSHIGH SCHOOL
Category 3 Hearings
0123456
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings
20082009
20092010
CATEGORY IV HEARINGSMIDDLE SCHOOL
Category 4 Hearings
012345678
Middle School
Num
ber o
f He
arin
gs 20082009
20092010
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
CATEGORY III HEARINGSHIGH SCHOOL
Category 3 Hearings
0123456
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings
20082009
20092010
CATEGORY IV HEARINGSMIDDLE SCHOOL
Category 4 Hearings
012345678
Middle School
Num
ber o
f He
arin
gs 20082009
20092010
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
CATEGORY IV HEARINGSMIDDLE SCHOOL
Category 4 Hearings
012345678
Middle School
Num
ber o
f He
arin
gs 20082009
20092010
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
CATEGORY IV HEARINGSHIGH SCHOOL
Category 4 Hearings
02468
101214
BusinessCarreers
Brandeis
Clark
Holm
es
Jay
Marshall
OC
onnor
Stevens
Taft
Warren
High School
Num
ber o
f Hea
rings 20082009
20092010
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009
Northside Independent School DistrictSE Checklist to Address Discipline Concerns and Category IV Offenses
Student ________________________ DOB ___________ Grade _____ Campus _________
1st ARD date____________ 2nd ARD date _____________ 3rd ARD date_____________1048576 Conducted Functional Behavior Assessment _____________________________________1048576 Reviewed Functional Behavior Assessment ______________________________________1048576 Developed Individual Education PlanBehavior Intervention Plan _____________________1048576 Reviewed Individual Education PlanBehavior Intervention Plan _____________________1048576 Revised Individual Education PlanBehavior Intervention Plan _______________________1048576 Reviewed current Full Individual Evaluation _____________________________________1048576 Requested newadditional Full Individual Evaluation _______________________________1048576 Conducted Manifestation Determination ________________________________________1048576 Behavior Consultation Referral was made _____________________________________1048576 Implemented strategies recommended by Behavior Specialist ________________________1048576 Considered current placementChanged placement ______________________________1048576 Considered other services ___________________________________________________
State strategiestechniquesrecommendationspositive behavioral supports implemented byARDs and their dates ____________________________________________________________________________________________________________________________________________________________________________________________________________________
___________________________ _______________________________Administrator Signature S E Campus Coordinator Signature
Reminder 10 days of removal for disciplinary reasons constitutes a change of placement and aManifestation review must be completedRevised August 2009