SOCORRO INDEPENDENT SCHOOL DISTRICT
ELEMENTARY DISCIPLINARY ALTERNATIVE
EDUCATION PROGRAM PLACEMENT CHECKLIST
THE FOLLOWING IS REQUIRED PRIOR TO INTAKE APPOINTMENT
Student Name __________________________________ ID: ___________ Home Campus: _________________
I. DOCUMENTATION CHECKLIST: Bring completed copies of the following to intake at KEYS
CAMPUS
KEYS
Items included in packet to be completed by Home Campus:
1. Education Program Placement Checklist
_______
_______
2. Recommendation for Placement in DAEP Letter
_______
_______
3. Parent Appeal form
_______
_______
4. EDAEP Contract(Mandatory or Discretionary)
_______
_______
7. Confidential Student Report School
_______
_______
8. Home Campus’ Interventions Report
_______
_______
9. Elementary DAEP Contract
_______
_______
Items to collect at Home Campus:
Student’s signed copy of Socorro ISD Code of Conduct
_______
_______
Campus Withdrawal Form
_______
_______
Discipline Records (including all previous referrals)
_______
_______
Copy of Report Card and Progress Report(s)
_______
_______
Student’s School Nurse’s File
_______
_______
Student’s CUM (with LPAC folder, if applicable)
_______
_______
Current Attendance Record
_______
_______
Manifestation Determination for SpEd or Section 504
_______
_______
Copy of ESpEd Accommodations Page
_______
_______
LPAC STAAR Participation and Linguistic Accomodations Decision
_______
_______
TELPAS Writing Samples and Ratings (if applicable)
_______
_______
II. HOME CAMPUS PARENT CONFERENCE PRIOR TO KEYS INTAKE
Home Campus informs parents of the following EDAEP Requirements:
□ Appeal Process
□ Student Dress Code
________________________
_________________________________
CONFERENCE DATE
_________________________
HOME CAMPUS ADMINISTRATION SIGNATURE
PARENT SIGNATURE \
III. INTAKE ORIENTATION AND ENROLLMENT AT KEYS ELEMENTARY:
□
Type of KEYS Intervention:
Mandatory Placement
Intake Date: _________________ and Time: __________
□ Discretionary
Visit: _________ (#weeks)
Projected Exit Date:____________
________________
_______________
__________________________________
PARENT SIGNATURE
DATE
KEYS INSTRUCTIONAL SPECIALIST SIGNATURE
Note: Home Campus Assistant Principal/Principal, Student’s Parent(s) and Student, are all expected to be at the intake.
KEYS Elementary - Intake Packet
1
SOCORRO INDEPENDENT SCHOOL DISTRICT
RECOMMENDATION FOR PLACEMENT IN DISCIPLINARY ALTERNATIVE EDUCATION PROGRAM
Student Name __________________________________ D.O.B: ___________ Date: ___________
Dear _______________________:
This letter is to inform you that I am recommending your child _____________________________ be placed
in the district Elementary Disciplinary Alternative Education Program. Also, be advised that your child may
not attend any home campus school activities. This placement is for the following reasons:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Your child___________________________________ is entitled to a hearing regarding this recommended
placement. Your request for a hearing should be made within three (3) school calendar days from the receipt
of this letter. If you do not request a hearing within the three (3) school calendar days, you will waive the right
to act immediately on the recommended placement.
If you request a hearing, the hearing officer in this case will be the Socorro Independent School District
Assistant Superintendent of Instructional Services. You have the right to be represented, if you desire;
however if you are to be represented, the appointment of your representative must be in writing. At the
hearing you may present witnesses, written evidence and make reasonable arguments. The school will present
the following who testify substantially as follows:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
If there are any additional witnesses to be called not listed above, you will be given notice of names of
witnesses and the nature of their testimony.
If you have any questions regarding the reason for this placement, or the need for more information
concerning the hearing process, please feel free to contact me.
Sincerely,
___________________________
__________________________
HOME CAMPUS ADMINISTRATOR
SCHOOL
PHONE
APPEAL HEARING OFFICER:
School Principal
KEYS Elementary - Intake Packet
__________________
2
SOCORRO INDEPENDENT SCHOOL DISTRICT
APPEAL FOR PLACEMENT IN ELEMENTARY DISCIPLINARY
ALTERNATIVE EDUCATIONAL PROGRAM
MEMORANDUM
To: Jesse Aguirre – Principal of KEYS Elementary
Re: PARENT APPEAL
I, ___________________________ the parent of ___________________________________ ______
PARENT NAME
________________________ do
STUDENT NAME
GRADE
□ do not□ wish to appeal the administrative action taken by
HOME SCHOOL
___________________________ ________________ on ___________ concerning my child’s placement at the
ADMINISTRATOR’S NAME
POSITION
DATE
district Elementary Disciplinary Alternative Education Program.
The reason I am appealing is because:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
___________________________
HOME PHONE
_________________________________________________________
HOME ADDRESS
___________________________________________________
_______________________
PARENT SIGNATURE
DATE
KEYS Elementary - Intake Packet
3
SOCORRO INDEPENDENT SCHOOL DISTRICT
MANDATORY PLACEMENT IN THE ELEMENTARY
DISCIPLINARY ALTERNATIVE EDUCATION PROGRAM
Student Name __________________________________ D.O.B: ___________ Date: ___________
Dear ________________________________:
This letter is to inform you that I am recommending your child be placed in the district Elementary Disciplinary
Alternative Education Program (EDAEP) because _________________________________________ engaged in
one of the Serious Offenses listed below. Also, be advised that your child may not attend any school activities.
A. Level 3: Offenses “Requiring Serious” Administrative Action {TEC § 37.002 & 37.006}
A student shall be removed from class and placed in the appropriate Socorro ISD Disciplinary alternative education program
{TEC §37.002} for the following offenses which occur on or within 300 feet of school property or while attending a school
sponsored or school related activity on or off of school property: {District Policy FOAB}
There is no provision for appeals of DAEP placement resulting from offenses for which the state requires placement of the
student in a Disciplinary Alternative Education Program. {TEC §37.006(a)(4)}
1.
2.
3.
Engaging in conduct punishable as a felony {TEC §37.006(a)(1)}
Engaging in conduct that contains the offense of assault under Penal Code § 22.01(a)(1). {TEC §37.006(a)(2)}.
Selling, giving or delivering to another person, possessing or using, or being under the influence of the following: {TEC
§37.006(a)(3)}
a. Marijuana or a controlled substance as defined by Chapter 481, Health and Safety Code or by 21 USC §n 801
et.seq. or
b. A dangerous drug as defined by Chapter 483, Health and Safety Code
4. Selling, giving, in possession of, using, or delivering to another person an alcoholic beverage as defined by §1.04, Alcoholic
Beverage Code or committing a serious act or offense while under the influence of alcohol, or possesses, uses or is under the
influence of alcoholic beverage {TEC §37.006(a)(4)}
5. Engaging in conduct that contains the element of an offense relating to abusable glue or aerosol paint under Sections 485.031
through 485.035, Health and Safety Code or relating to volatile chemicals as defined under Chapter 484, Health and Safety
Code. {TEC §37.006(a)(5)}
6. Engaging in conduct that contains the elements of the offense of retaliation against any school employee regardless of time or
place under Section 36.06, Penal Code except as defined under Level IV (3) of the Student Code of Conduct {TEC
§37.006(b)}
7. Engaging in Conduct that contains the elements of public lewdness under Section 21.07, Penal Code, or indecent exposure
under Section 21.08, Penal Code {TEC §37.006(a)(6)}
8. Engaging in conduct that contains the elements of the offense of terrorist threat under Penal Code §22.07 {TEC
§37.006(a)(2)}
9. A student must be placed in DAEP for off-campus behavior (even outside the 300 foot boundary) if: {TEC §37.006)}
a. The student receives deferred prosecution for felony offense;
b. A court or jury finds that the student has engaged in delinquent conduct that constitutes a felony offense
c. The superintended or his designee has a “reasonable belief that the student has engaged in a conduct defined as a
felony offense in Title 5 of the Penal Code
10. A Student under the age of ten engages in expellable conduct. {TEC §37.007(c)(2)}
If you have any questions regarding the reason for this placement, please feel free to contact me.
Sincerely,
___________________________
HOME CAMPUS ADMINISTRATOR
KEYS Elementary - Intake Packet
4
SOCORRO INDEPENDENT SCHOOL DISTRICT
DISCRETIONARY PLACEMENT IN THE ELEMENTARY
DISCIPLINARY ALTERNATIVE EDUCATION PROGRAM
Student Name __________________________________ D.O.B: ___________ Date: ___________
Dear ________________________________:
This letter is to inform you that I am recommending your child be placed in the district Disciplinary Alternative
Education Program (DAEP) because _______________________________________________ engaged in one of
the Major Offenses listed below. Also, be advised that your child may not attend any school activities.
A student may be removed from class and placed in the appropriate Socorro ISD Disciplinary Alternative Education
Program (TEC Sec.37008) for the following offenses which occur on or within 300 feet of school property or while
attending a school sponsored or school related activity on or off of school property:
1. Persistent Misbehavior (Six or more Level I or II violations excluding tardies and truancies to the Student
Code of Conduct during a nine week period).
2. Repeated interference with teacher’s ability to teach {TEC §37.002(b)(2)}
3. Behavior so unruly, disruptive, or abusive that it interferes with the teacher’s ability to teach {TEC §37.002(b)(2)}\
4. Displaying or distributing materials not approved by school officials
5. Forgery or any tampering with notes or school related documents
6. Insubordination (failing to comply with the lawful directives of school personnel)
7. Inciting a fight, or fighting
8. Involved in gang activity, including participating as a member or pledge, or soliciting another person to become a pledge or
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
member of a gang. Involved in a public school fraternity, sorority, or secret society, including participating as a member or
pledge, or soliciting another person to become a pledge or member of such a group.
Robbery or theft
Intentionally engaging in disruptive activities on a campus, school property, or at school sponsored activity
Disruption of lawful transportation of students to or from school or school sponsored activities
Sexual harassment
Verbal abuse including name calling/slander/taunting/bullying
Racial Discrimination i.e., taunting, gesturing, racial or ethnic slurs
Profane, vulgar, obscene/written/oral language and /or gestures toward a district employee
Extortion, coercion, blackmail
Tagging and/or possession of graffiti paraphernalia at school or school activity
Deadly conduct or terrorist threats
Hazing as defined by TEC Sec.37.151 through TEC Sec. 37.15.29
Engaging in any comparable offense that disrupts the school environment or educational process that requires administrative
action
21.
22.
23.
24.
Misuse of email and/or internet
Making or being a party to 911 calls
Gambling i.e., dice, cards, etc. (when anything of monetary value is exchanged based on the activity)
Misuse of Portable Telecommunication Devices on school property or at a school function which disrupts the
school sponsored activity or invades personal privacy or engages in any illegal activity. i.e. cell phones/smart
phones, pagers, iPods, radios, camcorders, cameras, etc….
25. Possession of a knife that does not require a mandatory expulsion. Possession of an object that has been
modified for the intended purpose of being used as a weapon.
26. Activating a fire alarm. Tampering with any fire suppression equipment: fire hose, or fire extinguisher.
27. Making or disseminating a hit list.
KEYS Elementary - Intake Packet
5
28. Be under the influence of prescription or over-the-counter drugs that cause impairment of the physical or
mental faculties.
29. Attempt to access or circumvent passwords or other security related information of the district, students, or
employees or upload or create computer viruses, including off school property if the conduct causes a
substantial disruption to the educational environment.
30. Attempt to alter, destroy, or disable district computer equipment, district data of others, or other networks
connected to the district’s system, including off school property if the conduct causes a substantial disruption
to the educational environment.
31. Use the Internet or other electronic communication(s) to threaten district students, employees or volunteers
including off school property if the conduct causes a substantial disruption to the educational environment.
32. Send or post electronic messages that are abusive, obscene, sexually oriented, threatening, harassing,
damaging to another’s reputation, or illegal, including off school property if the conduct causes a substantial
disruption to the educational environment.
33. Use e-mail or Web sites at school to encourage illegal behavior or threaten school safety.
34. Possess published or electronic material that is designed to promote or encourage illegal behavior that could
threaten school safety.
35. Engage in conduct that constitutes dating violence, including the intentional use of physical, sexual, verbal or
emotional abuse to harm, threaten, intimidate, or control another person with whom the student has or has
not had a dating relationship.
36. Record the voice or image of another without the prior consent of the individuals being recorded or in any
way that disrupts the educational environment or invades the privacy of others.
37. Possession of drug paraphernalia. Possess, use, give, or sell paraphernalia related to any prohibited
substance. (See Appendix F “paraphernalia”)
38. School fire not considered a felony.
39. Bullying to include cyber bullying as defined in Appendix F of this Code.
40. Possession or use of :
a. Fireworks of any kind, smoke or stink bombs, or any other pyrotechnic device;
b. A “look alike” weapon;
c. An air gun or BB gun;
d. Ammunition;
e. A stun gun;
f. Mace or pepper spray;
g. Pornographic material;
h. A laser pointer for other than an approved use; or
i. Any articles not generally considered to be weapons, including school supplies, when the principal or
designee determines that a danger exists. (For weapons and firearms see DAEP Placement and
Expulsion.)
If you have any questions regarding the reason for this placement, please feel free to contact me.
Sincerely,
___________________________
HOME CAMPUS ADMINISTRATOR
KEYS Elementary - Intake Packet
6
SOCORRO INDEPENDENT SCHOOL DISTRICT
CONFIDENTIAL STUDENT REPORT
Student Name __________________________________ I. D. Number: ___________ Grade: ___________
Date of Birth: ___________ Age: ________
Home Address: ________________________________________ Phone Number:______________
Emergency Contact: ___________________________________ Phone Number:_____________
Father’s Employment:_________________________________ Work Phone Number:__________________
Mother’s Employment:________________________________ Work Phone Number:__________________
Home Campus: _____________________ Home Campus Representative:______________________________
Phone Number of Campus Representative:_______________________________________________________
Number of years in the Socorro Independent School District ________
Other schools attended: _____________________________ District:________ Year ________
Reason for Elementary Disciplinary Alternative Educational Program placement:
_________________________________________________________________________________________
Has student ever been enrolled in a disciplinary alternative program before? ________
If so, when and where______________________________________________________________________
KEYS Elementary - Intake Packet
7
SOCORRO INDEPENDENT SCHOOL DISTRICT
ELEMENTARY DISCIPLINARY ALTERNATIVE EDUCATIONAL PROGRAM
HOMECAMPUS’ INTERVENTIONS REPORT
___________________________
Student Name
_________
I. D. #
_____
Grade
_______________
Date of Birth Date
Please indicate Counseling Interventions attempted and results:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Please indicate Classroom Interventions attempted and results:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
________________________________________
____________________________________ ____________
School Counselor
Classroom Teacher
**Attach
RTI documentation, BIPs, etc.
KEYS Elementary - Intake Packet
8
Date
SOCORRO INDEPENDENT SCHOOL DISTRICT
ELEMENTARY DISCIPLINARY ALTERNATIVE EDUCATION PROGRAM CONTRACT
The Elementary Disciplinary Alternative Education Program is a long-term, in-house suspension program that
allows a student to stay in school and continue schoolwork while using concepts, strategies and methods of the Girls
and Boys Town Education Model to teach social and life skills.
_____ Attendance
Regular attendance is required. The school hours are Monday through Friday, 7:00a.m. – 2:30p.m. Students
will be bused to/from the elementary disciplinary alternative educational program campus on a daily basis.
Parents are required to sign students in at the bus stop or at the campus.
_____ School Bus Rules
The parent or another responsible adult 18 years of age or older is required to remain with each student at the
bus stop each morning and for after school dismissal. When the bus arrives, the parent or responsible adult
must sign the student onto/off of the bus. Students may be periodically searched upon entering the bus.
1) Students must be within dress code guidelines when they enter the bus
2) Students must abide by the rules of the Student Code of Conduct
3) The bus must be kept clean of trash and graffiti. Tagging of school property is a felony offense.
4) Cooperate with the bus driver, bus monitor, and security guard
5) Respect other riders. Abstain from using gang hand signs and profanity.
6) Smoking or use of any illegal substance is prohibited.
7) Stay in your seat. Keep all parts of your body inside the bus.
8) No open food or drink is allowed on the bus.
The bus driver is authorized to assign seats and may do so at his/her discretion. Violation of any of the
above rules may result in loss of bus privileges and/or referral to law enforcement agencies.
_____ Parent Transportation
When parents bring their child to school, the parents are required to meet KEYS Instructional Specialist at
entrance gate by 7:00 a.m. and must be picked up at 2:30 p.m.
_____ Student Dress/Attire
The Alternative school classroom dress code is established to teach hygiene, instill discipline, prevent
disruption and avoid safety hazards.
1) Student’s hair shall be clean and neat in appearance. Bandanas, sweatbands, “medias,” ball caps, or any
other head coverings are NOT permitted. Nothing that is gang-related in appearance or dress is allowed.
2) NO jewelry allowed. This includes earrings, nose rings, tongue “pegs,” watches, and /or other body
piercing. Necklaces, rosary beads, bracelets, and makeup are not permitted. Any inappropriate items
worn or brought in will be taken and will NOT be returned to student. Parents may come pick the items
up. The school district is not responsible for lost items.
3) No frayed or tattered clothing is acceptable and shirts must be tucked in at all times. Pants must fit
snugly at the waist without a belt. Sagging or baggy pants or oversized clothing will NOT be tolerated.
Shirts must fit property.
4) Footwear is required at ALL times. Tennis shoes are recommended. No steel toed or pointed boots are
allowed.
5) Students who are improperly dressed or groomed in any way during the school day will be required to be
in timeout and remain until dress and/or grooming requirements are met.
_____ Student Behavior
Students are expected to follow the district and campus rules for conduct. An environment conducive to
learning in the classroom and on campus grounds is expected at all times. Parents are responsible for
transportation, if student is kept after school.
_____ Parent Involvement
Parents are REQUIRED to attend Parenting Sessions, which reinforce the campus objectives. Parents and
students will actively participate in counseling sessions.
KEYS Elementary - Intake Packet
9
_____ Curriculum
The students must successfully complete the following basic elements before being considered for return to
their regular campus:
1) T.E.K.S. (Texas Essential Knowledge and Skills)
a. Pass all academic work
b. Work successfully on STAAR related material
c. Turn in all class work and homework on time (Only quality work accepted)
2) BEHAVIOR
a. Display a positive self-image on a daily basis
b. Demonstrate proper classroom behavior on a daily basis
c. On time Attendance on a regular basis
d. Be respectful of others and their property
3) COUNSELING
a. An important component to the Elementary Disciplinary Alternative Education Program placement
that your child will be participating in includes your participation in parent trainings offered at KEYS
Academy.
b. Your child will receive counseling offered by Escontrias Elementary and/or Socorro Independent
School District counselor(s).
c. Confidentiality will be maintained at all times.
d. Only information that pertains to academic progress will be shared with those working directly with
the student. However, when a situation arises where there is clear and imminent danger to the
student, immediate action will be taken and the proper authorities and parents will be notified.
4) PHYSICAL EDUCATION
Physical Education is an academic component of KEYS Elementary DAEP academic structure.
I understand and acknowledge that the requirements, regulations, and policies of the Elementary Disciplinary
Alternative Education Program have been read and explained to me. I also understand that failure to comply with
them will result in additional time spent in the alternative education program.
____________________________________________________
_____________________
PARENT SIGNATURE
DATE
___________________________________________________
_____________________
STUDENT SIGNATURE
DATE
____________________________________________________
_____________________
KEYS INSTRUCTIONAL SPECIALIST SIGNATURE
DATE
___________________________________________________
_____________________
KEYS ADMINSTRATOR SIGNATURE
DATE
KEYS Elementary - Intake Packet
10