Truancy Preventative Measures Additional Truancy Preventative Measures Additional Truancy Prevention MeasuresPlease check off the prevention measures that you have assigned to the student include the date the measure will take place. Student Name* First Last Student Id*Grade Level*Pre-KKG1st2nd3rd4th5th6th7th8th9th10th11th12thSchool*Jubilee San AntonioJubilee Highland HillsJubilee Lakeview University PrepJubilee Highland ParkJubilee WestwoodJubilee SenderoJubilee KingsvilleJubilee LeadershipJubilee LivingwayJubilee HarlingenJubilee BrownsvilleJubilee Wells BranchUnexcused Absence Number*1234567891010 or moreNumber of Absences*More than 10 daysSelect all that apply* Parent/Teacher Conference Saturday School Recovery (Absence 4 only 3x max) Saturday School (Prevention/Intervention Measures) Referral to School Counselor Change Schedule Parent Shadowing ISS After school detention Parents will monitor attendance regularly No extra-curricular activities Student Attendance Log Schedule Tutoring Lunch Detention Loss of relax dress Home Visit Refer to Truancy Officer Municipal court contract ( Issue by Municipal Court Other (Only use for Notes/Documentation ) Notes*Unexcused Absence Number 10 Zero Tolerance Contract Email of staff who is in charge of the schedule change* What Schedule changes need to be made*Counselor Support*Social Emotional CounselorAcademic Counselor (6th - 12th)Both CounselorsTopics to discuss with counselor*Number of Days in ISS*Please enter a number from 1 to 3.Number of Days of After School*Please enter a number from 1 to 3.Number of Days of No extra - curricular Activities*Please enter a number from 1 to 3.Number of Days of Loss Relax Dress*Please enter a number from 1 to 3.Number of Days of Lunch Dentation*Please enter a number from 1 to 3.Number of Days for Student Attendance Log*Please enter a number from 1 to 15.Number of Shadowing Hours*Please enter a number from 1 to 7.Parent/Guardian Name* First Last Admin Name* First Last Start Date* Date Format: MM slash DD slash YYYY End Date* Date Format: MM slash DD slash YYYY Number of contract days*Please enter a number from 30 to 45.School DaysSchool District Personnel Name* First Last How was the parent informed of additional measures*In personOver the phoneVirtuallyParent Email (To receive a copy of documents) Admin Email (To receive a copy of documents) Date of submission* Date Format: MM slash DD slash YYYY
