Sr. Geri Marr, S.C.

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Saint Philip School Middle School 
                                Student Discipline Report 
Name 
_______________________________    Class________________.

Teacher___________________       Date________________.

Level One: Silent Lunch on the day following the infraction. Parent will be 
called after third infraction. (A new accumulation of infractions will start 
with each marking period.)
______1. Disruptive Behavior
______2. Missing Homework
______3. Chewing Gum
______4. Lateness/Loitering in Hallways or Restrooms
______5. Disrespectful Behavior/Attitude
______6. Peer Ridicule
______7. Repeated Violation of the dress code
______8. 
Other___________________________________________________

Level Two: Morning Detention with written notice to parents, exclusion 
from class parties, extra-curricula activities,groups/clubs,sports,etc.for
seven calendar days starting the day the level two infraction was received.   
  (A new accumulation of infractions will start with each marking 
period.)

______1. Five  Level One infractions within a marking period
______2. Improper Language/Gestures
______3. Intentional Pushing/Shoving
______4. Forging a Signature
______5. Verbal / Physical / Psychological  abuse
______6. Cheating
______7. Insubordination
______8. 
Other___________________________________________________
_

Level Three: One Day In-School Suspension, notification from principal, 
exclusion from class parties,extra-curricular activities, groups/clubs,
sports, etc for thirty calendar days.  The student is ineligible for HONOR
ROLL for the marking period.  A second level three infraction will/may result
in dismissal from school with reinstatement requiring the parents or legal
guardians obtaining approval from the pastor, principal and the homeroom
teacher in advance of returning.

______1. Three  Level Two Infractions
______2. Failure to Comply with Level Two Disciplinary Guidelines
______3. Fighting / Physical Aggression
______3. Vandalism
______4. Stealing
______5. Leaving School Grounds Without Permission
______6. 
Other___________________________________________________

Level Four: Immediate Suspension pending a meeting with the 
administrative team. For substance abuse and weapons policy 
violations, action will be taken in accordance with diocesan guidelines.

______1. Truancy / Skipping School
______2. Possession of drugs, alcohol, cigarettes, tobacco
______3. Violation of weapons policy
______4. 
Other___________________________________________________
--------------------------------------------------------------------------------------------------

______________________________________ Parent Signature ______________________    
Teacher Signature         
                                                                 
        
____   ______________________________  Parent Signature_______________________

Student Signature                                      
Date of Detention__________________________________Room________________

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