Dillon County Technology Center
Discipline Report
Student's Name:
First Name
Last Name
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Teacher/Reporter:
First Name
Last Name
Incident:
Action Taken:
Please Select
Parent Conference
Overnight Suspension
1 Day Suspension
2 Day Suspension
3 Day Suspension
4 Day Suspension
5 Day Suspension
6 Day Suspension
7 Day Suspension
8 Day Suspension
9 Day Suspension
10 Day Suspension
Expulsion Referral
Date of Return
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Administrator Signature
Submit
Should be Empty: