Las Cruces Public Schools short-term suspension



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Las Cruces Public Schools

SHORT-TERM SUSPENSION


INSTRUCTIONS:

  1. Use this form as a worksheet for online entry or suspension or health-related exclusion.

  2. Suspensions of more than 10 days, or request for long-term suspension/expulsion, must be processed through the Office of the Hearing Authority.

  3. Short-Term Suspension Form (JKD-E1) is not necessary if you are pursuing long-term suspension/expulsion.

Student Name:      Student ID #      First Day of Suspension      /     /      Month/Day/Year



Student Address:       Phone       or      

School Name       Responsible Administrator      

Name of staff member referring student:       Police Report #     (if applicable)

STUDENT INFORMATION


Age       Grade       Sex:  Male  Female IEP:  Yes  No 504 Plan:  Yes  No

REASON FOR SUSPENSION (Use codes from SUSPENSION OFFENSES WITH CODES)


Primary Suspension       Complete type of Weapon /Explosives for Codes 301, 302,303, 503, and 893

Supplemental      ,           

______________________________________________________________________________________________________________

A. Discipline Plan Violations: (if applicable)

Category A: Offense Number 1  2  3  Category A: Offense Number 1  2  3 

Description: _________________________ Description: _________________________
Category A: Offense Number 1  2  3  Category A: Offense Number 1  2  3 

Description: _________________________ Description: _________________________


Category A: Offense Number 1  2  3  Category A: Offense Number 1  2  3  Description:            Description:           
B. Discipline Plan Violations: (if applicable)

Policy Violation Title:                 Policy Violation Number:                






TERMS OF SUSPENSION – Record number of days


Days of Suspension

O
Example: 1 day 1.0 ½ day 0.5


ut-of-school       In-school       Beginning Date       End Date      

Additional Information (if needed):      



SIGNATURES REQUIRED AT THE TIME OF EACH VIOLATION

___________________________________________________________________________________________________________________________

Student Signature Date Parent/Guardian Signature Date

__________________________________________________________________

School Official Signature Date

__________________________________________________________________________________________________________________________

School Athletic Department use only (if applicable):

Suspension from participation dates: _____________________________ Suspension from competition date(s): _________________________________

School Conference Date: _______________________________________

LCPS Form JKD-E1 Page 1 of 2 (Rev. 11.06) (Previously 336-29) Distribution: Parent/Guardian, School

Suspension Offense Incident Codes and Description




Code Description Code Description


110 Disorderly Conduct/Disturbing Class

120 Excessive Absences

140 Misbehavior for the Substitute

150 Unprepared or Refusing to Work in Class

160 Skipping Class or Detention

170 Tardy

180 Truancy

210 Bullying

220 Horseplay

230 Inappropriate Physical Contact

240 Physical Confrontation (Bullying)

250 Public Display of Affection (PDA)

260 Running, Throwing, Wandering Hall

270 Sexual Harassment/Sexual Misconduct

310 Alcohol Possession

311 Alcohol Use

320 Drug Possession, NOT Marijuana

321 Drug Use, NOT Marijuana

322 Drug Possession, NOT Marijuana, Dealing

330 Marijuana Use

331 Marijuana Possession

332 Marijuana Possession, Dealing

340 Solvent Use

341 Solvent Possession

342 Solvent Possession, Dealing

350 Tobacco Use

351 Tobacco Possession

410 Bomb Threat

420 Creating an Unsafe Situation

430 Failure to Identify Oneself

450 Fireworks Possession

451 Fireworks Use

460 Leaving Campus without a Pass/Permission

470 Pulling a Fire Alarm

480 Rumors/Gossip Leading to Confrontation

490 Traffic or Vehicle Code Offense

495 Verbal Confrontation

510 Arson

520 Breaking /Entering/Larceny

530 Criminal Damage of Property

540 Graffiti

550 Missing Property/Theft

599 Other Vandalism

610 Assault Simple (Verbal Threat)

615 Assault with Hands, Feet, or Fists

620 Assault, Aggravated with Firearm

625 Assault, Aggravated with Knife or Cutting Object

630 Assault, Aggravated with Other Dangerous Weapon

640 Assault/Battery, Simple (Fighting)

650 Assault/Battery with Hands, Feet, or Fists

655 Assault/Battery with Knife or Cutting Object

660 Assault/Battery with Other Dangerous Weapon

670 Battery, Sexual

673 Motor Vehicle Theft

674 Robbery Using Force

699 Other Violent Crime

710 Club or Striking Object

720 Explosive Device

730 Handgun

740 Knife or Cutting Object

750 Pocket Knife, Less Than 2.5 Inches in Length

760 Rifle/Shotgun

770 Other Weapon, Non-projectile

780 Other Weapon, Projectile

910 Assembly, Unlawful

911 Assembly, Disrupting a Lawful

920 Computer Use Policy Violation

930 Forgery, Cheating, being Untruthful

940 Inappropriate Dress

950 Insubordinate, Refusing to do as Told

960 Littering

980 Theft



999 Other, Please CHECK other codes. NOT a catchall.



LCPS Form JKD-E1 Page 2 of 2 (Rev. 11.06) (Previously 336-29) Distribution: Parent/Guardian, School





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