SAIP

Forest City Regional School District

School Attendance Improvement Plan

100 Susquehanna Street, Forest City, PA 18421-1399

Phone: 570 785-2403 ▪ Fax: 570 785-9557

www.fcrsd.org

The purpose of the School Attendance Improvement Plan (SAIP) is to support students and families in identifying barriers to daily attendance and to support students in improving attendance.

Student Name: Date:

Date of Birth: Grade Level:

Parent/Guardian Name:

Home Address:

Phone Number:

Alternate Phone:

Special Needs:

Medical/Health Concerns:

Does the student have siblings or are other children or young adults living in the household?

With whom does the student live during the week?

What time does the student wake up on a school day?

What type of transportation does the student use to get to school?

School Attendance Record

Date of Absence

Written Excuse Provided? (Y/N)

Reason(s) for Absence

Action Taken

(e.g., Parent Letter 1 sent out on 04/01/2014), John Doe called parent, Mrs. Smith to discuss)

1.

2.

Strengths of the Student/Family/School System

Description	Relevance to the Plan
1.
2.
3.
4.
5.

Assessment/Areas of Need

Description of Barrier	Solution/Person Responsible
1.
2.

Security Measure