2019-2020 Detention & Office Referral Form
Please use this form to document if classroom managed discipline was utilized, or if the behavior requires administrator action in the form of a office referral.  

If submitting a detention, please complete the green detention form on paper, provide a paper copy to the student, contact parents/guardians, then complete and submit the following form below online.  

Please e-mail or see Scott Stasa if you have any questions scott.stasa@weschools.org.  
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1.  Staff Member's Name (Last Name, First Name) *
2.  Student's Name (Last Name, First Name) *
3.  Is the student's behavior considered classroom managed or office managed? *
4.  If classroom managed, select date of detention assigned (Tues/Thurs 3:15-4:00 Room 109).
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5.  Student's Grade Level *
6.  Does the student receive special education services? *
7.  Student's Ethnicity. *
8.  Date of Incident Occurrence *
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YYYY
9.  Approximate Time of Incident Occurrence *
10.  Location of Incident Occurrence. *
11.  Written Description of Incident *
12. Student Behavior Category.  Please select all that apply. *
Required
13.  Interventions Used Prior to Submitting Form.  Select all that apply. *
Required
Communication
Communication must be made to the student's parents/guardians by the staff member issuing the detention.  Please stop in to the main office if you need assistance locating a student's contact information.
14.  Communication to parent/guardian:   *
Required
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