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___________________________________________________
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______________________________________ Parent Signature ______________________
Teacher Signature
____ ______________________________ Parent Signature_______________________
Student Signature
Date of Detention__________________________________Room________________