Epstein Secrets

ne only) te Both Parents 0 Mother 0 Father 0 Foster 0 Group Home 0 Student is ward of the state Ot

been arrested resulting in a charge. of applicable 10. AInd with whom the student lives (check one only) te Both Parents 0 Mother 0 Father 0 Foster 0 Group Home 0 Student is ward of the state Other 11. IMPORTANT, EVERYONE MUST ANSWER THIS QUESTION. A. Is there a visitation order or other court

emediated ,,_. Requires New AIP Next Schott Year Special Senices 1 Placement Other (see attached) In Deficiencies due to non-attendance refer to Attendance Specialist) Number of Days Absent Parent/Guardian Contact CommItnentIContdbution O,ecl te 'het eppy. El Monitor Attendance I Tarries K Check Homework 0 Re

WITH: (chock ro D Mother 0 Father oth Parents 0 Foster 0 Group Home 0 Other ' (31) CUSTODY STATUS OF

K Sixassluly Rernadaled O Regales Non' MP Nor SOS Year 0 Snail Sera I Pecirent O Otte (see eftscheci) O Deficiencies die to nonattendance OW to Attendance Specialist) Paant/Guardlan COMMItmenUCoritribUtiOn Ova as That •0•Y O Monitor Attendance I Tank** K Chock Homework O Encourage Rimdm3 at Home Reinforce Sk

(check one) 0 Mother 0 Father 0 Both Parents 0 Foster 0 Group Home 0 Other (31) CUSTODY STATUS OF STU

ment 0 Other (see enacted) 0 Other (see attached) 0 Other (see attached) K Other (see attached) [1] Deficiencies due to non-attendance (refer to Attendance Specialist) Number of Days Absent ParentlGuardlan Contact Commitment/Contribution Check as that appiy D Monitor Attendance / 'rarefies EI Read with Child E