Austin Independent School District Truancy Filing Procedures
School Request Services Form
Date: ______
Name of Student: ______Name of Parent: ______
School: ______Cause Number: ______
Recommendations made by: ______
Interventions Completed by School:
(please check all that apply and write date it was completed)
q Phone call to Parent _____
q Parent Conference _____
q Home Visit _____
q Warning Letter _____
q Classroom Modifications _____
q Tutoring _____
q Guidance/Counseling _____
q Mentoring _____
q Referral to LST _____
q Peer Mediation _____
q ARD _____
q Support Groups (please list by name and dates attended______, ______, ______, ______
Recommendations Requested:
(please check all that apply and indicate when it will be available)
q Tutoring _____
q Guidance/Counseling _____
q Mentoring _____
q Peer Mediation _____
q Support Groups (please list by name and dates available) ______, ______, ______, ______
q Other (please list by name and dates available) ______, ______, ______, ______
q Parenting Classes- contact AISD Family Resource Center at 414-3189
Student/Parent Information/Involvement (please list any special issues or concerns):