It looks like you've uploaded an image of a
"In-School Suspension Request" form, which is typically used by teachers or school staff to request that a student be placed in in-school suspension (ISS) as a disciplinary measure.
However, the image you provided does
not contain a specific problem or question to solve. It's simply a blank form with instructions for teachers on how to handle a student’s suspension within the school.
Here’s what the form includes:
- Fields to fill out: Date, Time, Hour, Student Name, Teacher Signature, and Reason.
- Instructions for teachers:
1. Inform students to report directly to the ISS room.
2. Send work as soon as possible.
3. Mark the student absent (E) and send with wear attendance; note that they will be out of class for over 15 minutes.
4. Make contact hours today.
5. If the student is to be sent to an administrator, complete a referral form.
6. Send the student to ISS with this form (either via email or physically).
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What You Might Be Asking For:
Since no specific task or problem was stated, here are a few possibilities:
####
✔ Possible Interpretations & Solutions:
1.
If you're asking how to fill out this form:
- Fill in the date, time, hour, student name, teacher signature, and reason for the suspension.
- Check the appropriate box under “Send the student to ISS” — either:
-
Via: (e.g., email)
-
Or: Send the student to ISS and send another staff member with this form.
2.
If you’re asking about the purpose of the form:
- This form is used when a student misbehaves but doesn’t require out-of-school suspension. The student is removed from regular classes and placed in a supervised setting within the school (ISS) for a set period.
3.
If you're asking about the procedure:
- After completing the form, the teacher sends it to the ISS room or admin office.
- The student reports to ISS and completes assigned work.
- Attendance is marked appropriately.
4.
If you want an example filled out:
```
Date: 04/05/2024
Time: 10:00 AM
Hour: 2nd Period
Name of Student: John Doe
Teacher Signature: [Signature]
Reason: Disruptive behavior during class, refusing to follow instructions
Teachers please do the following:
• Inform student to report directly to the ISS room.
• Send work as soon as possible.
• Mark the student absent (E) and send with wear attendance.
• Make contact hours today.
• Send the student to ISS with this form → Via: Email
```
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Final Note:
If you intended to ask something specific (like "What should I write in the 'Reason' section?" or "How long does ISS last?"), please clarify your question so I can provide a more targeted answer.
Let me know how I can help further!
Parent Tip: Review the logic above to help your child master the concept of in school suspension worksheet.
