Fill and Sign the County of Santa Clara Pretrial Services Court Form

PROGRESS RPT AND FOLLOW-UP (RPT) – Page 1 of 2 WPF JU 13.0610 (06/2016) - RCW 28A.225.035(8), CR 77(k) Superior Court of Washington County of _______________________ Juvenile Court (School District) Petitioner vs. Respondent(s) Student Student’s D.O.B. ___/___/___ Parent(s) No : Progress Report and Follow-up (RPT) [ ] (Name of School) I. Basis  A truancy petition was filed by the __________________ School District concerning the above-named student.  The court entered a truancy order on ________________(date). The court:  ordered the School District to file a progress report every ___ month(s).  This is the first report, which was due on __________________ (date).  granted a ____ day continuance to allow the school district the opportunity to complete a number of interventions intended to eliminate or reduce the student’s absence from school. II. Report To date, the school district has undertaken the following:  adjusted schedule  provided tutoring  adjusted student’s program  offered special school district programs:  course changes  alternative school placement  vocational classes  retention & retrieval programs  work experience  counseling  arranged transportation changes  other  ESL evaluation and assessment undertaken  provided individualized remedial instruction  arranged for morning calls  conducted home visits or conference  contacted community agencies providing repositioned staff to school districts or school sites. PROGRESS RPT AND FOLLOW-UP (RPT) – Page 2 of 2 WPF JU 13.0610 (06/2016) - RCW 28A.225.035(8), CR 77(k) Please list:  made a special education referral (Focus of Concern):  contacted the student’s probation officer (name of p.o.) ______________________  testing completed  contacted local police department  held Multi-Disciplinary Team Meeting  Other:  Since the  petition was filed  the truancy order was entered  the last report was filed, the student has had additional unexcused absences on: .  The student’s academic status is now: _______________________________________________. Please attach any other statements or documents describing interventions taken by the school district, the student’s current academic status, and the student’s records of attendance .  The next progress report is due on ___________________ (date). I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed on _______________________ at ______________________________________, Washington. _____________________________________ Signature _____________________________________ Print name _____________________________________ Address _____________________________________