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Child Welfare and Attendance

PO Drawer 2158, Lafayette, LA 70502 Phone: (337) 521-7090 Fax: (337) 521-7088

OUT OF SCHOOL SUSPENSION APPEAL

(Only OUT OF SCHOOL SUSPENSIONS can be appealed)

Any request to appeal an out-of-school suspension must be made in writing to the Office of Child Welfare and Attendance Office

within five days of the receipt of the written notice of suspension as the disciplinary action for the offense. Upon appeal, the

student remains in school until the appeal is heard, unless the student is a danger to himself or to others (as determined by the

School Principal).

Date: Parent/Guardian:

Parent/Guardian Phone →

Parent/Guardian Email →

STUDENT INFORMATION

Student Name: School:

Date of Birth: Age: Race/Sex:

Grade: □Sped □504 □Reg. Ed

Reason for Out of School Suspension Appeal:

********OFFICE USE ONLY********

Date of Suspension Appeal: Time of Suspension Appeal:

Location of Suspension Appeal:

Date/time parent/guardian confirmed:

Date/time notified school: