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Carter High School

Discipline Referral Form(DRF)

Student Details:
Student:
Student #:
Grade:

Staff Details:
Referring Staff:
Date:
Time:
Period:
Location Of Incident:

Majors (Office-Managed Behavior)
Abusive/Inappropriate Language:
Cheeting/Integrity:
Repeated late coming:
Defience/Disrespect:
Disruption:
False Alarm:
Fighting/Physical Aggression:
Forgery/Thefft:
Harassment/Bully:
Property misuse or damage:
Truancy:
Use/Possession of Tobacco:
Use/Possession of Alcohol:
Use/Possession of Drugs:
Use/Possession of Combustible Items:
Use/Possession of Weapons:
Vandalism:
Uncooperative:
Missed Detention:
Unprepared/No Materials:
Unauthorised use of electronic device:
Sexual misconduct:
Racism:
Theft/Robbery:
Use/possession of pornography:
Initiation practices:
Xenophobia:
No name badge:
Email/Internet violations:
Use of electronic cigarette:

Minors (Staff-Managed Behavior)
Inappropriate Language:
Property Misuse:
Physical Contact:
Public Display of Affection:
Late Coming:
Dress Code Violation:
Defience/Disrespect:
Disruption:
Not Prepared for Class:

Comments: