Suspension & Expulsion Log
District: School Year Form JJ
Building:
Student Name Suspension or Mandatory or List 1st and last # of
Date of Violation Last, First Grade Expulsion* District Policy** date of suspension Days Reason
or expulsion
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
* For suspensions: use S for home or IS for in-school.
** District Policy versus Mandatory: See Pupil Accounting Manual, Section 5N
Signature / Title of Authorized Representative Date
2/26/2009