Truancy - 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) Court Warning Notice (has been issued by Truancy Officer) 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*Topics 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* MM slash DD slash YYYY End Date* MM slash DD slash YYYY Number of contract days*Please enter a number from 30 to 45.School DaysSchool District Personnel Name* First Last HiddenHow 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* MM slash DD slash YYYY FileMax. file size: 2 MB. Δ