Key: Use lowest level indicated first
Level 1: Classroom support – May be appropriate Level 2: RtI/IEP Team – may be appropriate when
when the student has no prior incidents and
interventions have not been put in place.
Level 3: Intervention Staff, and Appropriate
Administration – may be appropriate
when school supports are needed to correct
behavior
Level 5: Extended Suspension, Expulsion, and
Referral – may be appropriate when student’s
behavior seriously impacts the safety of others in
the school
supports have been put in place in the classroom to
address behavior but the behavior has continued to
negatively impact the learning of the student and
others
Level 4: Suspension and Referral – may be
appropriate when interventions and supports have
been put in place but the behavior is escalating
(repeated offenses)
Note: On the first instance of an inappropriate or disruptive behavior, use one or more intervention from the
lowest level indicated for that behavior, or any lower level. If the same behavior is repeated during the same
school year, one or more interventions or disciplinary responses from the next highest level may be used.
Lower-level interventions may always be used, but interventions or disciplinary responses from the shaded
boxes may never be used.
Inappropriate or Disruptive Behavior
1
Academic Dishonesty (e.g., cheating or plagiarizing)
Alcohol


2
• •
4
•
•
•
•
•
•
•
• •
•
Under the influence, using, or possession
Selling
Bullying, including cyberbullying and gang-related incidents
 Intentional conduct, including verbal, physical or
written conduct, or electronic communication that
is threatening or seriously intimidating and
substantially disrupts the orderly operation of a
school
 Serious bullying is defined as repeatedly over time
engaging in intentional negative behaviors that
adversely affect another student’s ability to
participate in or benefit from the school’s education
or extra- curricular programs
Bus Disruptions
 Minor disruptions on the bus (e.g., eating,
drinking, being too loud, standing, throwing
objects from the bus)
 Serious disruption on the bus
Levels
3
• •
•
All violations of federal and state law result in Level 5 responses.
If more than one offense occurs, go to the higher level offense, but list all offenses on referral form.
5
Key: Use lowest level indicated first
Level 1: Classroom support – May be appropriate Level 2: RtI/IEP Team – may be appropriate when
when the student has no prior incidents and
interventions have not been put in place.
Level 3: Intervention Staff, and Appropriate
Administration – may be appropriate
when school supports are needed to correct
behavior
Level 5: Extended Suspension, Expulsion, and
Referral – may be appropriate when student’s
behavior seriously impacts the safety of others in
the school
supports have been put in place in the classroom to
address behavior but the behavior has continued to
negatively impact the learning of the student and
others
Level 4: Suspension and Referral – may be
appropriate when interventions and supports have
been put in place but the behavior is escalating
(repeated offenses)
Note: On the first instance of an inappropriate or disruptive behavior, use one or more intervention from the
lowest level indicated for that behavior, or any lower level. If the same behavior is repeated during the same
school year, one or more interventions or disciplinary responses from the next highest level may be used.
Lower-level interventions may always be used, but interventions or disciplinary responses from the shaded
boxes may never be used.
Inappropriate or Disruptive Behavior
1
2
Levels
3
Classroom Disruptions (e.g., talking out in class or talking out
of turn, throwing objects, and other behavior that distracts from
student learning)
• •
•
Cutting Class (Failure to appear or attend a scheduled class)
• •
•
Defiance of authority and/or insubordination (e.g., nonviolent/non-physical, talking back to school staff, failure to
follow directions, failure to respond to school staff questions or
requests, refusal to participate in classroom activities, etc.)
• •
•
Disrespectful behavior (e.g., verbal insults or put-downs,
including the use of profane or offensive language; picking on,
bothering, teasing, or distracting other students; making
inappropriate gestures or comments; and other behavior that is
rude or disrespectful)
• •
•
Dress code violation
• •
Drugs or Controlled Substances (including inhalants)
 Under the influence

•
4
5
•
Using, possessing, distributing, or selling
All violations of federal and state law result in Level 5 responses.
If more than one offense occurs, go to the higher level offense, but list all offenses on referral form.
•
Key: Use lowest level indicated first
Level 1: Classroom support – May be appropriate Level 2: RtI/IEP Team – may be appropriate when
when the student has no prior incidents and
interventions have not been put in place.
Level 3: Intervention Staff, and Appropriate
Administration – may be appropriate
when school supports are needed to correct
behavior
Level 5: Extended Suspension, Expulsion, and
Referral – may be appropriate when student’s
behavior seriously impacts the safety of others in
the school
supports have been put in place in the classroom to
address behavior but the behavior has continued to
negatively impact the learning of the student and
others
Level 4: Suspension and Referral – may be
appropriate when interventions and supports have
been put in place but the behavior is escalating
(repeated offenses)
Note: On the first instance of an inappropriate or disruptive behavior, use one or more intervention from the
lowest level indicated for that behavior, or any lower level. If the same behavior is repeated during the same
school year, one or more interventions or disciplinary responses from the next highest level may be used.
Lower-level interventions may always be used, but interventions or disciplinary responses from the shaded
boxes may never be used.
Inappropriate or Disruptive Behavior
1
2
Levels
3
4
Extortion(e.g., taking or attempting to take from another money
or property by threat of force, express or implied)
•
•
False Activation of a Fire Alarm
•
•
•
•
Fighting/Assault/Battery
 Physical aggression - No injury(e.g., pushing and
shoving)
 Simple Assault or Simple Battery

More serious fighting (may include incidents
involving minor injuries)

Assault with a weapon or Battery causing serious
bodily injury
Fire Setting/Arson
 Fire Setting
•
5
Only
repeat
Level 4
may be
reported
to police
•
•
•
 Arson
All violations of federal and state law result in Level 5 responses.
If more than one offense occurs, go to the higher level offense, but list all offenses on referral form.
•
•
Key: Use lowest level indicated first
Level 1: Classroom support – May be appropriate Level 2: RtI/IEP Team – may be appropriate when
when the student has no prior incidents and
interventions have not been put in place.
Level 3: Intervention Staff, and Appropriate
Administration – may be appropriate
when school supports are needed to correct
behavior
Level 5: Extended Suspension, Expulsion, and
Referral – may be appropriate when student’s
behavior seriously impacts the safety of others in
the school
supports have been put in place in the classroom to
address behavior but the behavior has continued to
negatively impact the learning of the student and
others
Level 4: Suspension and Referral – may be
appropriate when interventions and supports have
been put in place but the behavior is escalating
(repeated offenses)
Note: On the first instance of an inappropriate or disruptive behavior, use one or more intervention from the
lowest level indicated for that behavior, or any lower level. If the same behavior is repeated during the same
school year, one or more interventions or disciplinary responses from the next highest level may be used.
Lower-level interventions may always be used, but interventions or disciplinary responses from the shaded
boxes may never be used.
Inappropriate or Disruptive Behavior
1
2
Levels
3
•
•
Hallway Misbehavior, Running, Making Excessive Noise, or
Loitering
• •
•
Harassment based on Race, Ethnicity, Gender, Sexual
Orientation, Disability, or Religion Against Members of the
School Community
 Minor harassment (e.g., verbal discriminatory
actions)
 Serious harassment (e.g., persistent or longterm harassment)
• •
Gambling
4
•
•
•
•
•
•
•
Lying to, Give False Information to, or Misleading School
Personnel
• •
•
Portable Electronic Devices Use at Unauthorized Times
• •
•
Inciting or Participating In Disturbance
 Causing a large disturbance to the atmosphere of
order and discipline in the school that is necessary for
effective learning, outside of general classroom
disruption, such as a riot
5
All violations of federal and state law result in Level 5 responses.
If more than one offense occurs, go to the higher level offense, but list all offenses on referral form.
•
Key: Use lowest level indicated first
Level 1: Classroom support – May be appropriate Level 2: RtI/IEP Team – may be appropriate when
when the student has no prior incidents and
interventions have not been put in place.
Level 3: Intervention Staff, and Appropriate
Administration – may be appropriate
when school supports are needed to correct
behavior
Level 5: Extended Suspension, Expulsion, and
Referral – may be appropriate when student’s
behavior seriously impacts the safety of others in
the school
supports have been put in place in the classroom to
address behavior but the behavior has continued to
negatively impact the learning of the student and
others
Level 4: Suspension and Referral – may be
appropriate when interventions and supports have
been put in place but the behavior is escalating
(repeated offenses)
Note: On the first instance of an inappropriate or disruptive behavior, use one or more intervention from the
lowest level indicated for that behavior, or any lower level. If the same behavior is repeated during the same
school year, one or more interventions or disciplinary responses from the next highest level may be used.
Lower-level interventions may always be used, but interventions or disciplinary responses from the shaded
boxes may never be used.
Inappropriate or Disruptive Behavior
1
2
Levels
3
4
Property Damage
 Minor or accidental damage (less than $50)
 Intentional damage or defacement of another
person’s or school property (less than $300)
 Intentional damage or defacement of another
person’s or school property (more than $300)
• •
•
•
Refusal to Obey School Policies
 Failure to comply with school rules, regulations,
policies and/or procedures, not otherwise defined in
the code; includes toy guns that look like toys
• •
•
Sexually-Based Behaviors
 Sexual Activity Grades PK – 3
• •
•
•
•
•
•
•
•

Sexual Activity Grades 4-12

Sexual Harassment (e.g., unwelcome sexual
advances, requests for sexual favors, and other
inappropriate verbal, written, or physical conduct of
a sexual nature)

Sexual Assault
5
•
•
All violations of federal and state law result in Level 5 responses.
If more than one offense occurs, go to the higher level offense, but list all offenses on referral form.
•
Key: Use lowest level indicated first
Level 1: Classroom support – May be appropriate Level 2: RtI/IEP Team – may be appropriate when
when the student has no prior incidents and
interventions have not been put in place.
Level 3: Intervention Staff, and Appropriate
Administration – may be appropriate
when school supports are needed to correct
behavior
Level 5: Extended Suspension, Expulsion, and
Referral – may be appropriate when student’s
behavior seriously impacts the safety of others in
the school
supports have been put in place in the classroom to
address behavior but the behavior has continued to
negatively impact the learning of the student and
others
Level 4: Suspension and Referral – may be
appropriate when interventions and supports have
been put in place but the behavior is escalating
(repeated offenses)
Note: On the first instance of an inappropriate or disruptive behavior, use one or more intervention from the
lowest level indicated for that behavior, or any lower level. If the same behavior is repeated during the same
school year, one or more interventions or disciplinary responses from the next highest level may be used.
Lower-level interventions may always be used, but interventions or disciplinary responses from the shaded
boxes may never be used.
Inappropriate or Disruptive Behavior
1
2
Tardiness
 Persistent or Excessive Tardiness to Class/School
• •
Technology Acceptable Use Policy Violation
• •
Theft


Less than $500
Greater than $500
Threat Against School Personnel Written or Verbal
 PK-Grade 4

Grade 5 – 12
Levels
3
4
5
•
•
•
• •
•
•
•
•
•
•
•
Only
repeat
infractions
that reach
Level 4
may be
reported
to Police
Trespassing (Level 5 interventions may only be used when a
student has entered onto school property without permission
and then refused to leave school property upon request)
•
All violations of federal and state law result in Level 5 responses.
If more than one offense occurs, go to the higher level offense, but list all offenses on referral form.
•
Key: Use lowest level indicated first
Level 1: Classroom support – May be appropriate Level 2: RtI/IEP Team – may be appropriate when
when the student has no prior incidents and
interventions have not been put in place.
Level 3: Intervention Staff, and Appropriate
Administration – may be appropriate
when school supports are needed to correct
behavior
Level 5: Extended Suspension, Expulsion, and
Referral – may be appropriate when student’s
behavior seriously impacts the safety of others in
the school
supports have been put in place in the classroom to
address behavior but the behavior has continued to
negatively impact the learning of the student and
others
Level 4: Suspension and Referral – may be
appropriate when interventions and supports have
been put in place but the behavior is escalating
(repeated offenses)
Note: On the first instance of an inappropriate or disruptive behavior, use one or more intervention from the
lowest level indicated for that behavior, or any lower level. If the same behavior is repeated during the same
school year, one or more interventions or disciplinary responses from the next highest level may be used.
Lower-level interventions may always be used, but interventions or disciplinary responses from the shaded
boxes may never be used.
Inappropriate or Disruptive Behavior
1
2
Levels
3
Tobacco Possession or Use
• •
•
Unauthorized Use of School Equipment
• •
•
Verbal or Physical Threat to Student
 Threatening or aggressive language or gestures
directed
toward another student
Weapons, Firearms, and Explosives
 Bringing, Possessing, or Igniting Firecrackers
• •
•
• •
•

Igniting Fireworks/Firecrackers

Bringing, Possessing, or Using Other Explosives
(Non- Fireworks)

Threat or False Report Related to Explosives/Bomb
Threat

Bringing, Possessing, or Using Firearms

Bringing or Using Other Deadly Weapons

Bringing/Possessing Other Weapons (ex. slingshot)
4
5
•
•
•
•
•
•
All violations of federal and state law result in Level 5 responses.
If more than one offense occurs, go to the higher level offense, but list all offenses on referral form.
Key: Use lowest level indicated first
Level 1: Classroom support – May be appropriate Level 2: RtI/IEP Team – may be appropriate when
when the student has no prior incidents and
interventions have not been put in place.
Level 3: Intervention Staff, and Appropriate
Administration – may be appropriate
when school supports are needed to correct
behavior
Level 5: Extended Suspension, Expulsion, and
Referral – may be appropriate when student’s
behavior seriously impacts the safety of others in
the school
supports have been put in place in the classroom to
address behavior but the behavior has continued to
negatively impact the learning of the student and
others
Level 4: Suspension and Referral – may be
appropriate when interventions and supports have
been put in place but the behavior is escalating
(repeated offenses)
Note: On the first instance of an inappropriate or disruptive behavior, use one or more intervention from the
lowest level indicated for that behavior, or any lower level. If the same behavior is repeated during the same
school year, one or more interventions or disciplinary responses from the next highest level may be used.
Lower-level interventions may always be used, but interventions or disciplinary responses from the shaded
boxes may never be used.
All violations of federal and state law result in Level 5 responses.
If more than one offense occurs, go to the higher level offense, but list all offenses on referral form.