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AIM Letter
Attendance Information
Date
*
Interpreter needed?
Interpreter needed?
No
Interpreter needed?
Yes
Interpreter Language
*
Doctor's Notes Required?
Doctor's Notes Required?
No
Doctor's Notes Required?
Yes
Doctors Note Date Sent
*
Date 3-Day Mandatory Parental Notification Letter Sent
*
Is this student being considered for a 15 day drop?
Is this student being considered for a 15 day drop?
No
Is this student being considered for a 15 day drop?
Yes
Type of Attendance:
Distance Learning
Hybrid
In-Person
Are unexcused absences are largely/solely occurring while the student is physically in the building?
Are unexcused absences are largely/solely occurring while the student is physically in the building?
No
Are unexcused absences are largely/solely occurring while the student is physically in the building?
Yes
What efforts has the school made to address in-school truancy concerns
*
Student's Information
Name
*
*
Age
*
*
Grade
*
*
Gender
Male
Female
Other
Date of Birth
*
Address
*
City
*
State
AL
AK
AZ
AR
CA
CO
CT
DL
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
*
*
Students Email
*
Race
African Native, including Oromo, Somali, Ethiopian, etc.
American Indian
Asian, Including Southeast Asian
Black or African American
Hispanic or Latino/a
White or Caucasian
Unsure
Specify tribe or other race
*
Is the student currently failing any classes?
Is the student currently failing any classes?
No
Is the student currently failing any classes?
Yes
Previous School attended
*
Is the student a transfer from another county?
Is the student a transfer from another county?
No
Is the student a transfer from another county?
Yes
County Transferred From
*
Parent / Guardian Information
Infromation for:
Mother
Father
Legal Guardian
Lives With?
Legal Guardian Relationship
*
Parent/Guardian Name
*
Parent/Guardian Phone
*
Parent/Guardian Email
*
Parent/Guardian Address
*
Parent/Guardian City
*
Parent/Guardian State
*
Parent/Guardian Zip
*
2nd Parent/Guardian Name
*
2nd Parent/Guardian Phone
*
2nd Parent/Guardian Email
*
Is address the same for Parents/Guardians
Is address the same for Parents/Guardians
No
Is address the same for Parents/Guardians
Yes
2nd Parent/Guardian Address
*
2nd Parent/Guardian City
*
2nd Parent/Guardian State
*
2nd Parent/Guardian Zip
*
3rd Parent/Guardian Name
*
3rd Parent/Guardian Phone
*
3rd Parent/Guardian Email
*
3rd Parent/Guardian Address
*
3rd Parent/Guardian City
*
3rd Parent/Guardian State
*
3rd Parent/Guardian Zip
*
4th Parent/Guardian Name
*
4th Parent/Guardian Phone
*
4th Parent/Guardian Email
*
4th Parent/Guardian Address
*
4th Parent/Guardian City
*
4th Parent/Guardian State
*
4th Parent/Guardian Zip
*
Interventions
Interventions Details
*
Referred By:
Assistant Principals, Deans, and other school officials play an important role at the AIM meetings as they can answer questions that arise about their school’s attendance policy and respond to parents who have questions regarding their child’s attendance, which often results in resolving attendance issues without further action.
Additionally, their presence and engagement at these meeting sets a solid example for both students and parents. Therefore, it is preferred that all school officials who refer student(s) to AIM attend the meeting.
If a school official is unable to attend, he/she must ensure that another official can attend in his/her place and be able to readily answer any questions from those particular students and parents.
In these situations, officials are encouraged to reach out to the student and/or parents prior to the AIM meeting if possible, to inform them of his/her absence and identify the colleague who will instead be attending.
In order to adequately address the increase in inquiries regarding attendance policies and procedures during this time, if your school has referred a large number of students to a particular meeting, please consider arranging for multiple school officials to be in attendance to ensure expeditious and meaningful post-meeting consultations with parents and students.
Referred By Information
Referred By Official and Title
*
Referred By Phone
*
Name of School
*
School District
*
Referred By Email
*
School contacted if reschedule requested?
School contacted if reschedule requested?
No
School contacted if reschedule requested?
Yes
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