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Progress Report And Follow Up Form. This is a Washington form and can be use in Juvenile Court Statewide.
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Tags: Progress Report And Follow Up, JU 13.0350, Washington Statewide, Juvenile Court
SUPERIOR COURT OF WASHINGTON
COUNTY OF _______________________
JUVENILE COURT
(School District)
No:
Petitioner
Progress Report and
Follow-up (RPT)
vs.
Respondent(s)
]
[
Student
Student’s
(Name of School)
D.O.B.
___/___/___
Parent(s)
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
adjusted student’s program
course changes
vocational classes
work experience
arranged transportation changes
ESL evaluation and assessment undertaken
arranged for morning calls
referred the student to a community truancy
board (please attach a narrative statement on
provided tutoring
offered special school district programs:
alternative school placement
retention & retrieval programs
counseling
other
provided individualized remedial
instruction
conducted home visits or conference
contacted community agencies providing
repositioned staff to school districts or
PROGRESS RPT AND FOLLOW-UP (RPT) – Page 1 of 2
WPF JU 13.0350 (06/2012) - RCW 28A.225.035(8), CR 77(k)
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actions taken by truancy board)
made a special education referral (Focus of
Concern):
testing completed
held Multi-Disciplinary Team Meeting
Other:
school sites. Please
list:______________________________
contacted the student’s probation officer
(name of p.o.) ______________________
contacted local police department
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
_____________________________________
PROGRESS RPT AND FOLLOW-UP (RPT) – Page 2 of 2
WPF JU 13.0350 (06/2012) - RCW 28A.225.035(8), CR 77(k)
American LegalNet, Inc.
www.FormsWorkFlow.com