Free Disciplinary Action Form 20Free Disciplinary Action Form 20
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WESTWOOD

HIGH

SCHOOL

SECONDARY DISCIPLINARY ACTION FORM
STUDENT’S NAME

ID NUMBER

GRADE

REFERRED BY

Parent/Guardian:

TIME

DATE

Phone:

Dear Parent, This is to inform you that your child was in violation of the following Information & Guidelines for student behavior:
VIOLATION:

Academic Misconduct/Cheating – 01
Alcohol – 02
Arson – 03
Assault – 04
Automobile – 05
Bus – 06
Dangerous Instrument/Weapon – 07
Deadly Weapon/Firearm – 08
Defiance of Authority – 09
Discrimination – 10
Disorderly Conduct – 11
Dress Standard – 12
Comments:

Drug Distribution – 13
Drug Possession – 14
Fighting – 15
Forgery – 16
Gambling – 17
Gang Activity/Association – 18
Harassment/Bullying/Hazing – 19

Sexual Harassment – 25
Sexual Offense – 26
Student Speech – 27
Tardiness – 28
Theft – 29
Threats/(A.R.S. 13-2911) – 30
Tobacco – 31
Trespassing – 32
Truancy/Unexcused Absences – 33
Vandalism – 34
Other

Information Systems/Electronic Devices – 20

Lying/False Accusations – 21
Medication/Dietary Supplemen