PEIMS Disciplinary Action Data2 Form 05-26-99

Brownsville Independent School District PEIMS Disciplinary Action Data – Student Record Type 425

Incident #: __________

Student Local ID #______________________________Student Name:_____________________________________________________ Incident Date: __________Referred by: __________Referred to: ________Parent Contact: Y ___N ___ Date: __________How Notified? ___________ Action Code (1): _____ Date: _________ Scheduled Days:__________ Actual Days Served: __________ Start Date: __________ End Date: __________ Action Code (1): _____ Date: _________ Scheduled Days:__________ Actual Days Served: __________ Start Date: __________ End Date: __________ Action Code (1): _____ Date: _________ Scheduled Days:__________ Actual Days Served: __________ Start Date: __________ End Date: __________ DISCIPLINARY-ACTION-REASON-CODE ___R01 Permanent Removal by a Teacher from Class ___R31 Sexual assault/aggravated sexual assault(PC)school employee/volunteer ___R02 Felony -TEC37.006(a)(1) ___R32 Sexual assault/aggravated sexual assault(PC)other than school/employee/volunt ___R04 Poss/sold/used marihuana/controlled substance ___R33 Possessed/purchased/used/accepted cigarette/tobacco product ___R05 Poss/sold/used/under influence of alcoholic bevg ___R34 School-related gang violence (3 or more students) ___R06 Abuse of a volatile chemical ___R35 False Alarm/false report ___R07 Public lewdness/indecent exposure ___R36 Felony controlled substance violation ___R08 Retaliation/school employee ___R37 Felony alcohol violation ___R09 Conduct off campus/felony/Title 5 ___R41 Fighting ___R10 Conduct off campus/felony not in Title 5 ___R42 Truancy/parent contributing/truancy ___R11 Used/exhibited/possessed/firearm ___R43 Truancy/ 3 unexcused absences ___R12 Used/exhibited/possessed/illegal knife ___R44 Truancy/10 unexcused absences ___R13 Used/exhibited/possessed/club ___R45 Truancy/failure to enroll ___R14 Used/exhibited/possessed/prohibited weapon ___R46 Aggravated robbery ___R16 Arson ___R47 Manslaughter ___R17 Murder/capital murder ___R48 Criminally negligent homicide ___R18 Indecency with child ___R49 Engages in deadly conduct ___R19 Aggravated kidnapping ___R50 Used/exhibited/possessed/non-illegal knife ___R20 Serious/persistent misconduct/AEC ___51 Firearm (off campus/300ft) ___R21 Violation SCOC (not in law or codes #33 or #34) ___52 Illegal knife, Club, Prohibited weapon (off campus/300ft) ___R22 Criminal mischief ___53 Serious Offense Conduct(off campus/300ft) ___R23 Emergency placement/expulsion ___54 Felony Marihuana, controlled substance, dangerous drug or Alcoholic beverage ___R26 Terroristic Threat (off campus/300ft) ___R27 Assault(PC)school employee/volunteer ___55 Register Sex Offender (under court supervision) ___R28 Assault(PC)other than school employee/volunteer ___56 Register Sex Offender (not under court supervision ___R29 Agg assault(PC)school employee/volunteer ___57 Sexual abuse of a child Occurring on school property/event ___R30 Agg assault(PC)other than school employee/volunteer) DISCIPLINARY-ACTION-CODE ___A01Expulsion without placement in another educational setting ___A12 Cont/district’s expulsion/JJAEP/prior yr ___A02 Expulsion to JJAEP or Discretionary expulsion (R20-BAC only) ___A13 Placement in JJAEP/court order ___A04 Expulsion to an off-campus AEP or Discretionary expulsion ___A14 Placement in DAEP (TLC)/court order ___A05 Out-of-school suspension ___A15 Cont/other district’s expulsion/JJAEP ___A06 In-school suspension ___A16 Truancy/charges filed-JP court/fine assessed ___A07 Placement in AEC or Discretionary Placement in AEC ___A17 Truancy/charges filed-JP court/no fine assessed ___A08 Cont/other district’s AEP placement ___A25 Partial day OSS ___A09 Cont/other district’s expulsion order ___A26 Partial day ISS ___A10 Cont/district’s AEP placement/prior yr * ___A27 Mandatory disciplinary action not taken by district as a result of ARD ___A11 Cont/district’s expulsion order/prior yr ___A28 Mandatory disciplinary action not taken by district to consider self Defense, intent or lack of intent *The following codes apply to students with disabilities only

Codes A50 through A60 must have PEIMS Office authorization

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Discipline Administrator’s Signature

Date

DISCIPLINARY-LENGTH-DIFFERENCE-REASON-CODE

___00 No Difference ___01 Term modified by district ___02 Term modified by court order ___03 Term modified by dist/student and or parent ___04 Met requirements sooner than expected ___05 Student incarcerated

___06 Term decreased/health reasons ___07 Student withdrew ___08 School year ended ___09 Continuation of prior year ___10 Term modified by placement prog/stu behavior ___99 Other

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Discipline Administrator’s Signature

Date

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Data Entry Signature

Date Entered

White: Originator

Pink: Clerk (initial discipline record)

Yellow: Clerk (monitoring of discipline record)

PEIMSDIS Form 09/13 Form PEM973-02 Media Center #11-164

BISD does not discriminate on the basis of race, color, national origin, sex, religion, age, disability or genetic information in employment or provision of services, programs or activities.