PIMS CODES

SIS PIMS Supplement

Student Name: ______Student Date of Birth: ______

*******************************************Student Screen*********************************************

Minor/Adult Status: Minor □ Emancipated Minor□ Adult □

Home Language: ______Language Country:______(Needed only if Home Language

is Spanish or Arabic)

Foreign Exchange Student N

PA Entry Date:______

Original Entry Date(The Most Recent Date that the student entered IU8) :______

School Year when student first entered 9th Grade(MM/DD/YYYY): ______

Expected Graduation Date (MM/YYYY): ______

*******************************************Status Screen********************************************

Homeroom(Teacher Last Name): ______

Expected ResidentSchool(School in Parent District of Residence): ______

Retained □(Student is being retained this school year)

ExceptionalStudent Reg Ed □Sp Ed □Gifted □Exceptionality ______

IEP Status: Has IEP □Exited IEP<2 yrs□ No IEP or Exited > 2yrs □

*************************************Extended Status Screen***********************************

(A)Placement: ______(Codes on the Back)

Free Lunch Status: Free Lunch □Reduced Price □ Neither □Economically Disadv.□

Homeless: □504 Student:□

LEP/ELL: Never □Current ELL □Exited 1 yr □Exited 2 yr □Former ELL >2 yr □

US entry Date: (MM/DD/YYYY) ______

**********************************************************Exit Data*********************************************************

Exit/Withdrawal Date: ______(B)Withdrawal Reason: ______(Codes on Back)

Graduated □: Diploma□GED □(C) Post Graduation Activity: ______(Codes on Back)

Dropout □: (D) Dropout Reason:____ (E)PostDropout Activity: _____ (Codes on Back)

12-20-11

(A) Placement
CodePlacement Descriptions
BCourt/Agency Placed
DSp Ed Student placed outside district
ESp Ed Student placed inside district
FStudent placed into an Alt Ed program
GSp Ed Student place into an Alt Ed program
IStudent attends an IU
KSp Ed Student placed in a hospital
LSp Ed Student placed in a correctional facility
MSp Ed Student placed in a day treatment/ed program
NSp Ed Student placed in a residential treatment/education program / (C) Expected Post Graduate Activity Codes
CodeExpected Post Graduate Activity Descriptions
010Community College – in PA
020Private 2-Year College – in PA
030StateUniversity – in PA
040State-RelatedCommonwealthUniversity – in PA
050Private 4-year College or University -- in PA
060Other PostsecondarySchool(AST or ASB Degree) – in PA
070Other Postsecondary School (non-degree) – in PA
0802-Year College – not in PA
0904-Year College or University – not in PA
100Other Postsecondary School – not in PA
110Farm Worker
120Homemaker160 Service Worker
130Military170Unemployed
140White Collar Worker180Unknown
150Blue Collar Worker
The following are valid only for special education
students with an IEP:
997Independent Living
(B) School Withdrawal Codes
CodeDescription
W1Student transferred to another room/group same
SD. Use re-entry code R1
W2Student transferred to another public school in
same SD. Use re-entry code R2
W3Student transferred to Nonpublic/Home Ed
W4Student moved from SD
W5Student transferred to/reported by another SD or
educating entity
W6Student quit school after passing required attendance
age or student if illegally absent 10 consecutive days
W7Student issued General Employment Certificate
W8Student issued Farm/Domestic Service
Exemption Permit
W9AStudent fulfilled graduation requirements.
W9BStudent withdrew early to attend a postsecondary
institution
W10Student deceased
W11Student physically or mentally incapacitated
W12Student committed to correctional institution
W13Student drafted or enlisted in the military service
/ (D) Dropout Reason
CodeDropout Reason
AAcademic Problems
BBehavior Problems
CChild, Married or Pregnancy
DDisliked School
OOther Reason
RRunaway or Expelled
WWork
W14Student attended kindergarten/withdrew
W15Neglected/dependent student is in the care of a
child care agency.
W16ARunaway student or whereabouts of family
unknown
W16BStudent kidnapped
W17Student expelled
W18Student lacks proper immunization
W19Student’s curriculum changed. Use re-entry
code R1
W20Student grade level changed during current
school year. Use re-entry code R10
W21Student’s residency status changes. Use
re-entry R1 or R9 / (E) Expected Post Dropout Activity
CodeExpected Post Dropout Activity Descriptions
110Farm Worker
120Homemaker
130Military
140White Collar Worker
150Blue Collar Worker
160Service Worker
170Unemployed
180Unknown
998GED/Other Education