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Student
Name : ALLEN, Andrew Parker SSID : 101758
Gender : M
DOB : 08-Oct-2002
Race : White
Phone :
Email :
School : Rydell High School
Grade : 9
Homeroom : Riggs, John
BLOOM #85750
07/24/2019 08:00
Behavior : General Misconduct : Disruptive behavior - Major
Description : Shouted
Detail : Shouted
Location : Classroom
Action
07/24/2019 08:28
Staff : Acosta, Vera ID : ST82259
Position : Teacher, Rydell High School
Race : White
Action : ODR(Office Disciplinary Referral), Reflection Sheet
Action
07/24/2019 08:30
Staff : McGee, Greta ID : ST2130
Position : Principal, Rydell High School
Race : White
Action : PST Intervention Plan
Student Comment
07/24/2019 08:30
Entered By : McGee, Greta ID : ST2130
Position : Student declined to provide comment.
Signature :
Administrator : Principal Greta McGee
Race :
Signature :
Witness Name :
Race :
Signature :
Office Referral Form
Date : 09/20/2020
Student Information
Gender : M
DOB : 08-Oct-2002
Race : White
Phone : 256-555-8976
Email : A.Allen@acsk12.com
School : Rydell High School
Grade : 9
Homeroom : Riggs, John
BLOOM Behavior Office Referral Information
BLOOM Report Number : 85750
Description : Shouted
Detail : Student shuoted out in the middle of class and disrupted learning.
Staff Member Information
Referred By : Acosta, Vera
School : Rydell High School
SIS Classification : Instructor / Teacher