PARENT NOTIFICATION FOR STUDENT VIOLATION OF
SUBSTANCE ABUSE POLICY
STUDENT: ______________________________________________________
SCHOOL: ______________________________________________________
PARENT/GUARDIAN: _____________________________________________
HOME TELEPHONE: ______________________________________________
HOME ADDRESS: ________________________________________________
DATE OF SUSPENSION: ___________________________________________
RETURN DATE: ___________________________________________________
TO THE PARENT/GUARDIAN OF THE ABOVE NAMED STUDENT
Your child has been suspended from school for violation of the Rowan-Salisbury
Board of Education Substance Abuse Policy. An alternative to long term suspension
may be made only in cases involving a first offense to this policy during a given school
year where the infraction does not involve the sale or distribution of a substance
prohibited by the policy. In order for your child to return to school you must initiate a
chemical dependency assessment from a licensed practitioner within ten days from the
date of suspension. In order to assist you in locating a licensed practitioner for chemical
assessment, a list of possible facilities is attached to this letter. This is not an inclusive
list, nor is it an endorsement of these facilities by the Rowan-Salisbury Board of
Education. It is only to provide you with some possible resources. Also, any cost
incurred by the chemical assessment is the sole responsibility of the parent/guardian of
the student.
Failure to comply with the practitioner’s recommendations may result in
suspension for the remainder of the school year.
_______________________________
Parent Signature
__________________________________
Student Signature
_______________________
School Representative
__________________
Date
___________________
Date
____________________
Telephone Number
_______________
Fax Number