Intervention Log

La Joya I.S.D Truancy Intervention Log Student Name:__________________________ Campus:________________________ Phone#:...

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La Joya I.S.D Truancy Intervention Log Student Name:__________________________

Campus:________________________

Phone#:____________

Grade:______

Student Id#:__________

Age:______

The following actions were taken in reference to student’s attendance: Date: ___ Student Conference ___ Phone call to Parent _______

Time: _______

_______

Contact made by: _______

Comments:

________________

__________________

________________ __________________

___ Warning Letter

_______

_______

________________ __________________

___ Parent Conference

_______

_______

________________ __________________

___ Home Visit ___ Referral to Court ___ Other

_______ _______ _______

_______

_______ _______

________________

__________________

________________ __________________ ________________ __________________

Additional Comments:_______________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

I, the undersigned, ______________________, ___Principal, __ Asst. Principal/Supervisor, __Truant Officer Certify that the school has applied the truancy prevention measures to the student and the truancy prevention measures failed to meaningfully address the student’s school attendance as required by law. (Section 25.0915 of the Texas Education Code).

_________________________________ Signature

____________ Date