ࡱ> }|'` ybjbj{P{P ~::`ttttttt4K/ :.<.<.<.<.<.<.$1hC4`.t!!!`.tt/"""! tt:."!:."",htt. O! B-:./0K/R-4"4 .4t.$~ > ," $ !~ ~ ~ `.`." ~ ~ ~ K/!!!!Dtttttt Brevard County School District Exit Interview (Designated School Personnel) To be completed by school guidance counselor or other designated school personnel: School Name  FORMTEXT       Student Name  FORMTEXT       Withdrawal date:  FORMTEXT       Grade Level  FORMTEXT       Student ID#  FORMTEXT       Student DOB  FORMTEXT       Interviewer  FORMTEXT       Date of Interview  FORMTEXT       1. What is the primary reason the student is terminating school enrollment? (check one) If the student completed the Exit Interview Student Survey, discuss the primary reason given by the student and attach a copy of the Survey to this form. If the student refuses to complete the Exit Interview Student Survey, query the student as to the primary reason he/she is terminating enrollment and check below.  FORMCHECKBOX  Classes not interesting  FORMCHECKBOX  Marriage  FORMCHECKBOX  Employment  FORMCHECKBOX  Student/teacher conflict  FORMCHECKBOX  Parenting  FORMCHECKBOX  Suspended too often  FORMCHECKBOX  Friends dropped out  FORMCHECKBOX  Illness  FORMCHECKBOX  Homeless  FORMCHECKBOX  Failing classes  FORMCHECKBOX  Migrant  FORMCHECKBOX  Truancy/Absenteeism  FORMCHECKBOX  Did not like school  FORMCHECKBOX  Expelled  FORMCHECKBOX  Failed to pass FCAT  FORMCHECKBOX  Family Problems  FORMCHECKBOX  Intimidated/Threatened/Bullied Other:  FORMTEXT       Secondary reasons if applicable:  FORMTEXT       2. What would have improved your chances of staying in school? If the student completed the Exit Interview Student Survey, review his/her response to item #3 and discuss, if appropriate. If the student refuses to complete the Exit Interview Student Survey, query the student as to what would have improved his/her chances of staying in school. (Check all that apply.) The student has identified the following as actions that could be taken to keep them in school.  FORMCHECKBOX  Opportunities for real-world learning (internships, service learning)  FORMCHECKBOX  Better teachers  FORMCHECKBOX  Smaller Classes  FORMCHECKBOX  More individualized instruction  FORMCHECKBOX  Better communication with your teachers  FORMCHECKBOX  Better communication with your parents  FORMCHECKBOX  Increased Parental Involvement  FORMCHECKBOX  Less Freedom and more supervision from parents  FORMCHECKBOX  Less Freedom and more supervision from school officials Other:  FORMTEXT       3. What interventions did the school attempt in response to unexcused absences, excessive tardies, failing grades, suspensions or other  at  risk behaviors of the student while enrolled? (Check all that apply)  FORMCHECKBOX  Communicated with student and family via letter or telephone  FORMCHECKBOX  Convened a formal meeting with the parent and/or student  FORMCHECKBOX  Convened an Individual Problem Solving Team meeting on behalf of the student  FORMCHECKBOX  Referred to a Competency - Based Diploma Program  FORMCHECKBOX  Placed in a Competency - Based Diploma Program  FORMCHECKBOX  Provided Credit Retrieval opportunities  FORMCHECKBOX  Changed learning environment  FORMCHECKBOX  Provided student counseling (academic and/or supportive)  FORMCHECKBOX  Referred the student/family to other agencies for services  FORMCHECKBOX  Provided tutoring services  FORMCHECKBOX  Developed an Attendance Contract  FORMCHECKBOX  Facilitated mentoring services  FORMCHECKBOX  Referred to the Resource Teacher for Attendance  FORMCHECKBOX  Filed a Truancy Petition Other (Please describe):  FORMTEXT       4. The student must be informed of the following: Terminating school enrollment prior to graduation will likely reduce his/her potential earning and negatively affect career options; Termination of school enrollment will result in the revocation/denial of the students driving privilege until age 18; Opportunities to continue his/her in a different environment, including, but not limited to, adult education and GED test preparation; and Bright Future eligibility requirements for students planning to earn a GED include completion of credit requirements prior to taking the GED exam. If the student completed the Exit Interview Student Survey, the student, guardian and school representative should sign the intent to terminate school enrollment and the statements should be checked (refer to middle section of page 2). If the student refuses to complete the Exit Interview Student Survey, provide the student the district form titled, Students Intent to Terminate 50ȻEnrollment, which should be signed by the student and the guardian. The students guardian must be notified of receipt of the students intent to terminate school enrollment. 5. Has the parent been notified of the students intent to terminate school enrollment?  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If yes, provide the date of parent notification.  FORMTEXT       7. Has the student completed the Student Survey?  FORMCHECKBOX  Yes  FORMCHECKBOX  No 8. If no, how many attempts did the school make to obtain a completed survey from the student?  FORMTEXT       9. The following section is included to encourage dropout retrieval efforts. Three (3) month follow-up: (Please check all that apply.) Method of contact:  FORMCHECKBOX  Letter (Level I)  FORMCHECKBOX  Phone call (Level II)  FORMCHECKBOX  Home visit (Level III)  FORMCHECKBOX  Contact Successful  FORMCHECKBOX  Contact Unsuccessful Employment status:  FORMCHECKBOX  Employed full-time  FORMCHECKBOX  Employed part-time  FORMCHECKBOX  Unemployed  FORMCHECKBOX  Unknown Education status:  FORMCHECKBOX  Working on GED  FORMCHECKBOX  Earned GED  FORMCHECKBOX  Enrolled in another school (private/vocational)  FORMCHECKBOX  Unknown Other`````````aa"a$a2a4a6aǪp\FpFpFp\*6jhvhhP{B*OJPJQJUaJnHphtH*hP{5B*OJPJQJaJnHphtH'hP{B*OJPJQJaJnHphtH0hkhP{5B*OJPJQJaJnHphtH@jh 5hP{>*B*OJPJQJUaJmHnHphtHu9jh 5hP{>*B*OJPJQJUaJnHphtH?jh 5hP{>*B*OJPJQJUaJnHphtH0h 5hP{>**ʴϴԱٱ6鲹ղղݲ岹IJaaaaaaaʲܲɭ蔭uŔF/-ڰP*ʴϴԱٱ0ڰP5B*ʴϴԱٱ*P5B*ʴϴԱٱ<jh 5hP{B*OJPJQJUaJnHphtH0hkhP{5B*OJPJQJaJnHphtH6jhvhhP{B*OJPJQJUaJnHphtH<j.h 5hP{B*OJPJQJUaJnHphtH-hvhhP{B*OJPJQJaJnHphtHZb\bpbrbtb~bbbbbbɩqWA*-hP{5B*OJPJQJ\aJnHphtH*hP{5B*OJPJQJaJnHphtH3hkhP{5>*B*OJPJQJaJnHphtH-hP{5>*B*OJPJQJaJnHphtH@jh 5hP{>*B*OJPJQJUaJmHnHphtHu?jh 5hP{>*B*OJPJQJUaJnHphtH0h 5hP{>*B*OJPJQJaJnHphtH9jh 5hP{>*B*OJPJQJUaJnHphtH b"c$c&c^ccccccccccd d dddd1d2d3dAdηηΣhΣIΣ<jh 5hP{B*OJPJQJUaJnHphtH<jh 5hP{B*OJPJQJUaJnHphtH6jhvhhP{B*OJPJQJUaJnHphtH'hP{B*OJPJQJaJnHphtH-hP{5B*OJPJQJ\aJnHphtH-hvhhP{B*OJPJQJaJnHphtH3hvhhP{5B*OJPJQJ\aJnHphtHAdBdCd\d]d^dldmdndddddddddŮŮ{ŮŮ\ŮE-hP{5B*OJPJQJ\aJnHphtH<jfh 5hP{B*OJPJQJUaJnHphtH<jh 5hP{B*OJPJQJUaJnHphtH'hP{B*OJPJQJaJnHphtH-hvhhP{B*OJPJQJaJnHphtH6jhvhhP{B*OJPJQJUaJnHphtH<jzh 5hP{B*OJPJQJUaJnHphtHdddddddddddddd e eeeee*e+e,e:eκκ`κAκ<jh 5hP{B*OJPJQJUaJnHphtH<jRh 5hP{B*OJPJQJUaJnHphtH<jh 5hP{B*OJPJQJUaJnHphtH6jhvhhP{B*OJPJQJUaJnHphtH'hP{B*OJPJQJaJnHphtH-hvhhP{B*OJPJQJaJnHphtH3hvhhP{5B*OJPJQJ\aJnHphtH:e;eh 5hP{B*OJPJQJUaJnHphtHeeeeeeeeeeeeeeeefx$x&x:x͹͚͹{͹y\C0h 5hP{>*B*OJPJQJaJnHphtH9jh 5hP{>*B*OJPJQJUaJnHphtHU<j h 5hP{B*OJPJQJUaJnHphtH<jh 5hP{B*OJPJQJUaJnHphtH'hP{B*OJPJQJaJnHphtH-hvhhP{B*OJPJQJaJnHphtH6jhvhhP{B*OJPJQJUaJnHphtH[eeeNxPx&y(y*y,y:yy$a$gdP{ $7$8$H$a$gdP{ (Please explain)  FORMTEXT       Did the student return to school following this contact?  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