7:210-E2 – Initial Student Expulsion Checklist

Instructions: To be completed by Building Administration immediately following a decision to recommend expulsion for a student. Submit electronically to the RJAC Administrator overseeing expulsion, and follow up to ensure receipt.

Today’s Date
Student Name
Student ID Number
Building
Primary Administrator Involved
Instructions: To be completed by Building Administration immediately following a decision to recommend expulsion for a student. Submit electronically to the RJAC Administrator overseeing expulsion, and follow up to ensure receipt.
Suggested Duration of Recommended Expulsion:
Will Safe Schools be suggested in abeyance of expulsion?
Did this student admit guilt to the offense?
First Date of OSS for this incident (Day 1):
Last Date of current OSS:
Date that student may return to school if Board of Education does not expel student:
In the 10 school days prior to this incident, did this student have any OSS days? (If so, those OSS days could still be appealed by the parent.)
Special Education Student?
IF YES
Current IEP?
Currently Conducting an Evaluation?
Current 504 Plan?
Who is the Student’s Case Manager
IF NO
Has parent ever requested an evaluation?
Per 7:210 AP, has an administrative review occurred, and has the Building Principal given the go ahead to proceed with this expulsion recommendation?
Parent #1 Name, Address, and Home, Work, Cell numbers
Parent #2 Name, Address, and Home, Work, Cell numbers
Other relevant information:

Date Approved: 02/08/2012