Screener for Ryerson Entrepreneurship Class

D.E Screener

In Accordance with the Ontario Education Act, Sections: 309, 310, 311 Regarding Suspension and Expulsions. Created by a group of Entrepreneurship Students at Ryerson University.

Date

MonthDayYear

Position/Title of School Personnel Completing Form*

# of students involved*

Grade(s) of Child(ren) Involved*

Brief Description of The Incident (eg. Child 1 bothered Child 2...)*

Position/Title of Personnel Who Dealt with the Incident*

Racial or Ethnic Composition(s) of Child(ren) Involved*

Gender(s) of Child(ren) Involved*

MaleFemale

1) How severe was the incident?*

MildModerateExtreme

2) Does the child have any special needs or developmental delays?*

Yes - Documented I.E.P (individual education plan)Yes - Undocumented I.E.P (individual education plan)NoOther

3) Is there any related history regarding the incident?*

NoYesOther

4) Is there any prior history of this nature?*

NoYesOther

5) Are there any mitigating factors?*

NoYesOther

6) What supports are available for the child(ren) involved?*

Please specify

7) What are the possible outcomes?*

Please specify

8) Has the investigation explored AT LEAST three sides of the situation? Please list all sides explored.

#1

#2

#3

9) Was a parent contacted PRIOR to any final decision made by the administration?*

NoYesOther

10) What was the final outcome/disciplinary measure applied?*