Request for Expulsion Hearing Grant Parish School Board Expulsion Request Workflow Δ Request for Expulsion Hearing Please complete the information below to request an expulsion hearing. Name of School(Required)Please SelectGeorgetown High SchoolGrant High SchoolGrant Junior High SchoolMontgomery High SchoolPollock Elementary SchoolSouth Grant Elementary SchoolVerda Elementary SchoolAdmin Name(Required) First Last Principal E-mail(Required) Assistant Principal Email(Required) Student Name(Required) First Last Grade(Required)Select GradePre-KK123456789101112Infraction/Reason Code as identified in JPAMS(Required)Parent/Guardian Name(Required) First Last Parent/Guardian Mailing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent/Guardian Phone Number(Required)Add a Second Parent/Guardian? Yes No Second Parent/Guardian Name (Optional) First Last Check All that Apply: Student Receives Special Education Services Student has been classified 504 Student has been referred to SBLC Bring the following to the hearing: JPAMS Court Report Documentary evidence for the Infraction violated Include the following if applicable: Behavior Plan Functional Behavior Assessment Select Supervisor(Required) Elementary/Secondary – Jennifer Winslett
