Student Recovery Day Documents Table of Contents · Student Recovery Day Documents Table of Contents ... Volunteer Tally Sheet ... • Inform family that you are making calls for

Student Recovery Day Sample Forms 1

Student Recovery Day Documents

Table of Contents

□ Agenda

□ Team Leads and Contacts

□ Volunteer Sign-In Sheet

□ Home Visit Team Members Sign-In

□ Telephone Bank Team Members Sign-In

□ Outreach Team Members Sign-In

□ Resource/On Site Recovery Team Members Sign-In

□ Home Visit 101

□ Student Recovery Day Decision Protocol

□ Home Visit Notification or SRD “Door Hanger” form

□ Home Visit Log

□ Volunteer Tally Sheet

□ Evaluation Form

□ Phone Call Tips and Reminders

□ Phone Call Log

□ Outreach Team Community Contact Log


Your School District Name

______________________High School

Student Recovery Day

Date Agenda

7:30 - 8:00 a.m. Volunteer Check-In and Team Assignments Location 8:00 - 9:00 a.m. Welcome Location Orientation and Team Trainings 9:00 a.m. Student Recovery Efforts begin Phone Calls Location(s) 12:00 p.m. Teams Check-In/Debriefing Location 1:30-3:30 p.m. Student Recovery Efforts continue (As needed) Phone Calls Location 3:30-4:00 p.m. Material collection and statistical computations

Designated Personnel Location(s)


STUDENT RECOVERY DAY Your School District Name

Team Leads and Contacts

Event Date School:_________________________________Main Telephone Line:_____________________ Address:______________________________________________________________________

Name Location During SRD

Phone Numbers

Notes

SRD Site Admin/Designee

SRD School Site Lead

Other Resources/Support Staff

Team Leads

Home Visits

Phone Bank

Outreach

Resource



_________________Location _________________High School

STUDENT RECOVERY DAY

Event Date

Volunteer Sign-In Sheet

Name Title Contact Number Email Time In

Time Out



___________________HIGH SCHOOL Date

STUDENT RECOVERY DAY Home Visit Team Members Sign-In

Team

# Team Leader Team Members Cell Phone #

1 1. 2.

2 1. 2.

3 1.

2.

4 1.

2.

5 1.

2.

6 1.

2.

7 1. 2.

8 1.

2.

9 1. 2.


Your School District Name ___________________HIGH SCHOOL

Date

STUDENT RECOVERY DAY Telephone Bank Team Members

Sign-In

Team #

Team Leader Team Members Cell Phone #

1

2 3 4 5 6 7 8 9

10 11 12



___________________HIGH SCHOOL Date

STUDENT RECOVERY DAY Outreach Team Members

Sign-In

Team #


1 1. 2.

2 1. 2.

3 1.

2.

4 1.

2.

5 1.

2.

6 1.

2.

7 1. 2.

8 1.

2.

9 1. 2.


Your School District Name ___________________HIGH SCHOOL

Date

STUDENT RECOVERY DAY Resource/On Site Recovery Team Members

Sign-In

Team #


1

2 3 4 5 6 7 8 9

10 11 12


HOME VISITS 101 DO: - Ensure your Identification Badge is visible, if available - Introduce yourself and explain the purpose of your visit - Verify the parent/guardian’s name and best phone numbers - If the current resident does not know family, inquire and document how long they have lived at that address DON’T: - Confront anyone on the street or in the building, even if they are committing a crime - Enter any residence where the parents are not home - Try to enter a gated yard if there is evidence of a dog Home Visit Suggested Script: Good afternoon, we are “names” and we are “title” at “school.” We stopped by to talk to you about “student’s name” and their attendance in school. You might be surprised to know that your child has missed “number” days of school this year and we are really worried about how their frequent absences will affect their grades and graduation. Are you aware they have missed this much school? What is/are the reason/s for their absence? **Document parent response ** (i.e. chronic illness like asthma, diabetes, truant/ditching, parent cannot control) Ask the parent if they need assistance in finding resources like counseling, medical or dental services, or other supports. **Document stated needs** At the end of the visit, thank the parent for welcoming you, and let them know that we all want “student’s name” to succeed in school and in life. Special Note: If the parent is not home, but an adult relative is, you may provide them with LIMITED information (we need to talk to them about their child’s progress in school), document this on the school information sheet so they can follow up with the Counselor. Please remember to verify phone numbers. Once you return to campus, please bring all materials to the designated office to de-brief. Thank you for participating in the Student Recovery Day!



Decision Protocol Student is Enrolled at another location:

• Get name, location, and phone number of the school (if possible) • Ask for the approximate date that the student enrolled • Call the school and confirm enrollment. Ask for the following information when confirming enrollment:

o Enrollment Date o Person’s name confirming enrollment

Student is NOT Enrolled in school:

• Ask: o How long has the student been out of school? o What is the last school attended? What is the location? o Why the student is not currently enrolled? o Have they received support/help from the school to deal with obstacles to attending school? o Would they like someone to follow up and provide assistance?

Student has Moved:

• Collect: o Name of person providing the information o New contact information o City, State of residence o New school Information

§ Enrollment date § Name of school § City, State § Phone number

Student has Poor Attendance:

• Inform family that according to California Education Code mandates that parents of children 6 to 18-years-old must send their children to school

• Inform family that you are making calls for Student Recovery Day • You are calling to inform the family that the student has chronic absences (10 days or more) • Attendance is important! Students with good attendance tend to do better in school than those with poor

attendance • Ask if they would like to have someone follow up and make an appointment with them. • Request for updated contact information

Unable to contact family:

• Not at home: o Leave notice of visit on door o Notate on home visit log that family was not home or other findings

• Disconnected numbers: o Ensure to call all numbers- even emergency numbers. Check emergency card for other numbers, if

possible. o Notate in log that numbers were no longer valid

• No answer: o Leave messages (when possible) with school name, reason for call, PSA/DPC Counselor name, and

contact number.



Home Visit Notification Event Date

Today is Student Recovery Day for _______________ Unified School District. We stopped by to invite you to school and offer assistance. Please call:_________________________ Phone: __________________________ School: ______________________

***Inside every student IS a graduate***

Event Date

Hoy es el día de recuperación del estudiante del Distrito Unificado de__________. Venimos a invitarlo a la escuela y ofrecerle asistencia. Por favor llame a: ____________________ Teléfono:____________________ Escuela: ___________________

***Dentro de cada estudiante hay un graduado***

Student Recovery Day Home Visit Notification

Event Date

Today is Student Recovery Day for _______________ Unified School District. We stopped by to invite you to school and offer assistance. Please call:_________________________ Phone: __________________________ School: ______________________

***Inside every student IS a graduate***

Event Date

Hoy es el día de recuperación del estudiante del Distrito Unificado de__________. Venimos a invitarlo a la escuela y ofrecerle asistencia. Por favor llame a: ____________________ Teléfono:____________________ Escuela: ___________________

***Dentro de cada estudiante hay un graduado***


F/U Needed: Y or N Phone Call______________ Appointment____________

___Phone Call _

__Appointment

Student Recovery Day Event Date Home Visit Log Contact Number:______________________________ PSA COUNSELOR:_______________________ Name of Caller:_______________________________ Contact Number:______________________________ Work Location:________________________________ Student Name:________________________________________________ DOB:______________________ Reason for visit: (circle): No Show Dropout Inactive ***Someone in the home at time of visit? If no one is home, leave a notice of your visit. Contact Information:

Name of Person on Phone:__________________________________ Relation:____________________

Updated Contact Information: Home Phone:______________________________Address:_________________________________ Additional Phone:____________________________Email:___________________________________ Enrollment Information: Student Attending School? Y or N

***If yes Name of School_____________________________ Phone:_______________

***If no: Reason:___________________________________________________________

When was the student last enrolled?_____________________________________ Location of last enrollment:___________________________________________ Other Information: __________________________________________________________________________________________________________________________________________________________________________________________

School Office Use Only Update SIS: Student Enrolled in another School ___ Update SIS ID01, Field 212 ___ Update ID22 and L Codes New contact numbers ___ Update all new numbers in SIS, ID01 Follow Up: ___ Phone Call ___ Set up appointment___ Home Visit (Additional) ___ Update Contact Records/ID19 __ Confirmed Enrollment? Y or N Name of School:______________________________

F/U Needed: Y or N ___Phone Call ___Appointment


Student Recovery Day Event Date

Volunteer Tally Sheet Dear Volunteers, Tally all of your efforts throughout the day. Please complete this form and turn in to the PSA Counselor,_________________________, at the end of the day. (Name of Counselor)

Number of Phone Calls

Number of Home Visits

Number of Students Recovered to School Site

Number of Students Cleared at other Educational Sites

******************************************************************************


Event Date Volunteer Tally Sheet

Dear Volunteers, Tally all of your efforts throughout the day. Please complete this form and turn in to the PSA Counselor,_________________________, at the end of the day. (Name of Counselor)

Number of Phone Calls

Number of Home Visits

Number of Students Recovered to School Site

Number of Students Cleared at other Educational Sites



Evaluation Form

Name: ___________________(optional) “Regular” Job: _____________________________ School Site worked today: ___________ Specific task: __________________________________ TRAINING: Was the day-of training helpful? Y N How was it helpful/useful? _________________________________________________ How could it have been more helpful/useful? ___________________________________ ________________________________________________________________________ LOGISTICS: Was your site well-organized? Y N Did you have the materials you needed to be successful? Y N EXPERIENCE Did you feel well-utilized? Y N Why or Why Not? ______________ Did you feel like you made a difference? Y N How? ____________ LESSONS LEARNED We want this to be an ongoing project for the district. What should we do different next time?



Phone Call Tips and Reminders

Your main objective is to gather information and to motivate students to attend school every day and on time; invite students to meet with someone at school regarding attendance, enrollment and/or their educational options.

§ State your name and what school you are calling from.

§ Ask to speak to parent/guardian. If the parent is not available leave a general message for

parent to return your call. Leave contact information.

§ If parent answers, inform them that their son/daughter is not currently attending

____________school. Ask if they are enrolled at another school. Ask for the name, location of the school. Ask how long the student has been attending.

§ If the student is not attending or enrolled in any school, invite him/her to come into

________________school.

§ If the person answering tells you the family moved, try to get the new address, phone

number, and name of school the student is attending.

§ If the student is refusing to attend school, ask parent and student to come to school and

discuss attendance, enrollment, and/or other educational options available.

§ If the student is “enrolled” in another school, follow up by calling that school. Ask for the

enrollment date and get the name of the person you are speaking to. (This information is needed to properly document and clear student in the ISIS system).

§ Record all of the information gathered on the Phone Call Log.



School PSA/DPC Counselor:__________________ Event Date Phone Call Log Contact Number:______________________________ F/U Needed: Y or N

___Phone Call ___Appointment

Name of Caller:_______________________________ Work Number:______________________________ Student Name:________________________________________________ DOB:______________________ Reason for call: (circle): No Show Dropout Inactive Excessive Absences 10+ Absences Stated reason for absences:________________________________________________________

Unable to contact? Check appropriate reasons: ____Disconnected/Wrong Numbers ____No Answer ____Left Message

Contact Information:

Name of Person on Phone:__________________________________ Relation:____________________

Updated Contact Information: Home Phone:______________________________Address:___________________________________ Additional Phone:__________________________ Email Address:______________________________ Enrollment Information: Student Attending School? Y or N

***If yes Name of School_____________________________ Phone:_______________

Confirmed Enrollment? Y or N With whom did you speak?_________________ Enrollment Date:____________ ***If no: Reason:___________________________________________________________

When was the student last enrolled?_____________________________________ Location of last enrollment:___________________________________________ Other Information: _________________________________________________________________________________________________________________________________________________________________________________

School Office Use Only Update SIS: Student Enrolled in another School ___ Update SIS ID01, Field 212 ___ Update ID22 and L Codes New contact numbers ___ Update all new numbers in SIS, ID01 Follow Up: ___ Phone Call ___ Set up appointment ___ Home Visit ___ Update Contact Records/ID19


STUDENT RECOVERY DAY Event Date

Outreach Team Community Contact Log

School Site:

Team Members: __________

Name Contact

Number/email Question/Concern/Comment Resources

Provided