Nintex Live Forms

Request for AIM Letter

Date

You are unable to save progress to this form. Please have all relevant information available to fill out this form in it's entirety prior to starting.

For Which Language?

Interpreter needed?

YesNo

Date 3-Day Mandatory Parental Notification Letter Sent

Date notification letter sent

Doctor's Note Required?

Type of Attendance:

Are unexcused absences are largely/solely occurring while the student is physically in the building?

What efforts has the school made to address in-school truancy concerns?

Is this student being considered for a 15-day drop?

Lives With? (select all that apply)

MotherFatherLegal Guardian

Enter complete parent/guardian information. If address is the same as other parent, please put Same as ...

Information for:

MotherFatherLegal Guardian

Name

Home Phone

Cell Phone

Email

Address

City

State

ZIP Code

Information for:

MotherFatherLegal Guardian

Name

Home Phone

Cell Phone

Email

Address

City

State

ZIP Code

Add another parent/guardian

Select all pre-referral efforts taken (at least on) and provide details - Required

After unexcused absence occurs, school staff attempt to engage student at time of return regarding reason for absence(s)

Met with parents and student regarding reason for absence(s)

Contacted parent(s) on each day of absence (not robocall)

If parents cannot be reached, was emergency contact used

Confirmed that student has access to necessary technology

Other interventions

Assistant Principals, Deans, and other school officials play an important role at the AIM meetings as they can answer questions that arise about their school’s attendance policy and respond to parents who have questions regarding their child’s attendance, which often results in resolving attendance issues without further action.

Additionally, their presence and engagement at these meeting sets a solid example for both students and parents. Therefore, it is preferred that all school officials who refer student(s) to AIM attend the meeting.
If a school official is unable to attend, he/she must ensure that another official can attend in his/her place and be able to readily answer any questions from those particular students and parents.
In these situations, officials are encouraged to reach out to the student and/or parents prior to the AIM meeting if possible to inform them of his/her absence and identify the colleague who will instead be attending.
In order to adequately address the increase in inquiries regarding attendance policies and procedures during this time, if your school has referred a large number of students to a particular meeting, please consider arranging for multiple school officials to be in attendance to ensure expeditious and meaningful post-meeting consultations with parents and students.

Official and Title

Phone

Name of School

District

Email (to receive a confirmation email)

The school must be contacted for approval if parent/guardian requests to reschedule?

YesNo

Please upload the student's current attendance records along with this referal *

Add Attachment

If you wish to retain a copy of your referral, please print a copy BEFORE submitting!

Workflow Status

PendingN/ANotify TruancyTruancy Notified