LR- 3
La Joya Independent School District Leaver Tracking Form To be used for “No-Shows”/ “Code 98” Name of student: _______________________
For office use only: Expected Enrollment Date
___________________
Phone#: ___________________
Student Id# ______________________ Grade_____ Age______ Student has not attended school because:
_________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ The following options were explained to the student: _____Academies _____C.C.C. (College & Career Center) _____Dropout Options List _____HSEP (GED) Program for Students 18 + _____Other_______________________________________________________ Method of Contact: ____________________ Person Making Contact (School Personnel)/Date________________________ Person Giving Information/Date_______________________________________ FORM NEEDS TO BE SIGNED BY SCHOOL PERSONNEL AND PERSON GIVING INFORMATION. If contact is through phone, state name of person giving information and their phone number. If person giving information refused to sign, write down their name and state that they refused to sign. Updated 10-15-2012
