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STUDENT'ATTENDANCE'IMPROVEMENT'PLAN'(SAIP)'
The$purpose$of$the$Student$Attendance$Intervention$Plan$is$to$identify$the$reason(s)$for$a$student’s$
truancy,$docum e nt$the$p reviou s$steps $ta ken$b y$the$sch oo l$to$add ress$the $studen t’s$truan cy$pro blem,$and$
develop$the$plans$necessary$to$improve$the$student’s$future$attendance.$
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Conference(Date:((((( (
(
Identifica t ion (in f o rmation(
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Student!ID!Number:!_____________________!
Student’s!Name: DOB:!!!
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Current!School:! ! ! !!!
School!Contact!Number:!____________________________________________________________________!
Home!Address:! ! ! !!
Parent/Legal!Guardian:!!!! ! ! !!
Parent/Guardian!Primary!Language:!!!! ! ! !!
Home!Phone:!! (!!!!!!!!!)! Cell!Phone:!!(!!!!!!!!! )__ _ __ __ _ __ __ __ _ __!
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!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Work!Phone:!! (!!!!!!!! )! Emergency!Phone:! (!!!!!!!!! )! !
Student(Attendance(History((days$absent,$past$p rob lem s ,$previo us $sch oo ls,$etc.)$
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Pennsylvania$law$requires$schools$to$ take$ m easures$to$ assist$the$ student$ and$ his/her$fam ily$in$ resolving$
an$attendance$ problem.$Documentation$of$these$interventions$is$ necessary$ and$should$ include$dates$as$
well$as$comments.$$The$following$school$personnel$should$be$utilized$in$the$intervention$process:$
Attendance$Designee:$$$
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Parent/Guardian$(1):$$$$ $
Parent/Guardian$(2):$$ $$
Teacher:$_________________________________________________________________________________$
DHS/CUA$Case$Man ag er(if$a pp licab le):$$$ $$
Counselor:$ $
Principal:$$$ $