The EVVRS The Electronic Violence & Vandalism Reporting System Training: Winter, Spring 2009 Today’s Objectives Become familiar with all system features Reporting Incidents of Students with Disabilities : Understanding the changes made to the Offender Information Page.
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The Electronic Violence & Vandalism Reporting System
Training: Winter, Spring 2009
Suspension, Expulsion, 45-day Removals
Report of Suspension/Removal of Students with Disabilities (Revised)for reasons other than violence, vandalism, weapons or substance abusefor the Electronic Violence and Vandalism Reporting System (EVVRS)2008-2009
Incident Number: ________________ The EVVRS generates the incident number upon data entry.
Location of Incident: cafeteria, classroom, corridor, other inside school, school grounds, bus, building exterior, district office, other outside, school entrance, off-site program (____________)
Date of Incident: ________________ Time of Incident: ___________ ___ Bias
Police Notification: __None __Yes, complaint filed __Yes, no complaint filed __Gang-Related
Contact Name: _________________________ Contact Phone: ________________
Brief Description of the Reason for the Suspension: ___________________________________________________________
Offender Page Information
___Was the student suspended or removed from his/her educational setting?
If yes, check the disciplinary action taken:
__Expulsion __In-school suspension* __Out-of-school suspension
Number of days suspended or removed for this incident:__________
Program/services provided upon disciplinary action (Check one):
__None __Assignments __Academic Instruction (only) __Support Services (only)
__Educational Program (academic instruction and support services)
__In-district alternative program* __Other in-district setting
__Out-of-district alternative program* __Home instruction __Other out-of-district setting
*District board of education or Department of Education approved only
Please complete the following information for EACH offender involved in the incident.
OFFENDER TYPE STUDENT ID NUMBER_______ STUDENT NAME:______________________
____ Regular education student (Students of the school only) (Students of the school only)
____ Student with a disability
____ Student from another school
____ Non-student System-Assigned Incident Number_____________
For students of this school only, check the items which describe any action taken regarding this offender.
Removal: Was the student removed from his/her educational setting? ____Yes Use Group A or B, Action Taken ____No Use Group C, Action Taken
Disciplinary action taken: Group A, All Students: ____Expulsion ____In-school suspension ____Out-of-school suspension
Group B, Students with disabilities only: ____Unilateral removal ____Removal by ALJ
Group C, All students: ____None ____Detention ____Other
Days removed or suspended: _________________
Program/Services provided upon disciplinary action: ____None ____Assignment(s) ____Academic Instruction (only) ____Support Services (only)
____Educational Program (Academic Instruction and Support Services) ____*In-district alternative education program ____Other in-district setting
____*Out-of-district alternative education program ____Home Instruction ____Other out-of-district setting
Offender caused: ____ Bodily injury ____Serious bodily injury Offender incurred: ____ Bodily injury ____Serious bodily injury
*District Board of Education or Department of Education approved only
For students of this school only. Check the categories that describe the offender.
GRADE: ___PRE K ___K ___1 ___2 ___3 ___4 ___5 ___6 ___7 ___8 ___9 ___10 ____11 ___12 ___Un-Graded
GENDER RACE/ETHNICITY LEP: ____ Check if “Yes”
____ Male ____ American Indian
____ Female ____ Asian or Pacific Islander Section 504: ____ Check if “Yes”
____ Black or African-American
____ Hispanic or Latino
____ White (Not Hispanic)
SPECIAL EDUCATION ELIGIBILITY CRITERIA
____ Autism ____ Hearing impairments ____ Other health impairments ____ Speech language impairments
____ Deaf-blindness ____ Multiple disabilities ____ Orthopedic Impairments ____ Traumatic brain injury
____ Emotional disturbance ____ Mental retardation ____ Specific learning disabilities ____ Visual impairments
Check the type of incident involving this offender:
_____ Violence _____ Vandalism _____ Weapon _____ Substance Abuse