5001.1

Collaborative Plan Addressing Barriers to Attendance

Student Name: ________________          Student Grade: ________________        

Building: ________________        Classroom/Homeroom ________________

Date of Meeting: __________________   

Number of absences at time of meeting: __________________

What are the primary reasons the student has been absent:  __________________

Based on that information, meeting participants considered the following issues (check all that apply):

☐  Illness related to physical or behavioral health of the child

☐  Educational Counseling

☐  Referral to community agencies for economic services

☐  Family or individual counseling

☐  Assisting the family in working with other community services

☐  Referral to student assistance team for possible Section 504 or IDEA eligibility

☐  Other: Click here to enter text.

Attendance Plan

Based on the above considerations, this attendance plan will be put into place:

Steps to be taken by school staff:  Click here to enter text.

Steps to be taken by student: Click here to enter text.

Steps to be taken by parent/guardian: Click here to enter text.

Steps to be taken by third parties:  Click here to enter text.

Signatures of Meeting Attendees:

Parent/Guardian[1]: __________________________

Student: _________________________________________________

Attendance Officer: _________________________________________

Social Worker or School Administrator: __________________________

Other (indicate title): ____________________________________________

Notice to family: Nebraska law requires students to be in attendance at school each day that such school is open and in session, except when excused by school authorities or when illness or severe weather conditions make attendance impossible or impracticable.  Nebraska law also requires school officials to investigate any possible violation of this requirement.  Please note that if your student accrues more than 20 absences, the school district may refer the child to the county attorney for action under Neb. Rev. Stat. § 43-247(3)(a) and (b).

I have received a copy of this Plan, including the above notice:

Parent/Guardian*: __________________________________________

Student: _________________________________________________

[1] *If parents/guardians are not present at the meeting, please attach documentation showing that the school made reasonable efforts to invite the parents.