Write a Testimonial

Step 1 Instructions:

The information provided in this section of the truancy referral is to provide us with the contact information for the person that is submitting the truancy referral.

secondary contact person

In this section, please let us know if there is someone that you would like us to contact directly for attendance update requests.  This section is not required, but is helpful.

District and School Information

Step 2 Instructions:

The information provided in this section is to primarily provide the demographic background of the student.  It is also to provide us with the proper contact information for the parents and or guardians.
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Ever Retained
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Gender
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Is the Student Court Involved

We ask this question because juvenile delinquency charges supersede truancy.  If they are currently court involved (not including municipal or family court), this may change services that ATD can provide.

Special Ed
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504 Plan

SIS #:  The State Identification number is a 9 digit unique number issued in IWAS by ISBE. Please note:  this is not the District Id number.  SIS numbers will not contain the year that the student is anticipated to graduate from high school, and will not have three or more consecutive zero's.  If you are unaware of where to locate the SIS number, please contact someone in your IT department, or front office.

Does the student receive Homeless Services
Need Spanish Letter
Does the student receive ESL/ELL Services?
TANF Recipient
Free or Reduced Lunch

student address

Please enter any secondary address on record for another custodial parent and/or guardian.
Does a copy of any correspondence need to be mailed to the secondary address as well?
Primary Parent/Guardian
Secondary Parent/Guardian
Who Does the Student Live With
Current Year Attendance
Please enter the data based on the current school year.  The Date Enrolled is also referring to this school year.  That helps us to see if they enrolled on time or not.  The attendance reported should be in full and half day increments (not by class periods).  Due to ISBE reporting, our database will round to the nearest whole number.
History of Absence by Grade
Please review the cumulative file to locate the history of absences for the student and enter the data below.  This information is required.  Entering a "0" will initiate a request from ATD after the referral for the missing information (unless it is a grade they haven't entered yet).  Please provide a note in the "comment section" of why you are unable to provide this information.
High School Credit Information
Earned YTD
Attempting
Total Required to Graduate
Refers to the whole 4 years required.  Examples of local schools would be:  22, 23, 22.5, 41.
Refers to the number of credits that they have earned so far in their High School career.
Refers to the total number of credits the student is attempting right now, as you are completing the truancy referral.
Attempts the school has made to remedy the attendance problem:
The Illinois School Code requires schools to take measures to assist the student and his/her family in resolving attendance issues.  Documentation of these interventions is necessary (dates, description).
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Barriers to Attendance
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Your Signature

Regional Office of Education
500 W. Winchester Rd
Suite 202
Libertyville, IL 60048
Phone: 847-543-7833

Educational Services
19525 W. Washington St. Grayslake, IL 60030

Phone: 847-223-3400

Attendance & Truancy
500 W. Winchester Rd
Suite 202
Libertyville, IL 60048

Phone: 847-223-3400

Regional Safe School Program
1415 27th Str.
Zion IL, 60099

Phone: 847-872-1900