Staff - Exclusion Request

Exclusion Request (Internal and External)
This form should only be used by a member of SLT or a Head of School to generate an internal or external exclusion. Thank you.
Student*

First NameLast Name
Form*
Staff Name*

First NameLast Name
Your email address*
Your email address*
example@example.com
Reason (Letter Text)*
Enter the reason for this exclusion, this will be the text that shows in the letter that is sent home and the reason the parent sees on Bromcom
Coded Reason*
This is a default field that is required on Bromcom
School Notes*
Enter a description as to why they are being excluded, this will be the text that goes into the School Notes field on Bromcom. Parents will NOT see this information
Exclusion type*

Internal exclusion (ALE entry only)External exclusion (out of school)Permanent Exclusion
Duration*

Half day1 day2 days3 days4 days5 daysInternal ExclusionPending PermPermanent
Start Date of Exclusion*

DayMonthYear
Date
End Date of Exclusion

DayMonthYear
Date
Detention start time

AMPM
Reintegration Meeting Date and Time (if applicable)

DayMonthYear
DateHourMinutes
Staff undertaking meeting
First Day Back Arrangements
If the reintegration meeting is not set for the student's first day back following the exclusion, please explain the arrangements for the student on their return (for the letter)
Please confirm whether or not this exclusion request has been approved by the Headteacher
Headteacher Approval*

YesNo
Comments
Enter alternative text to place in the letter if you do not intend carrying out a reintegration meeting or enter details of phone call made home if applicable.
The John Warner School, Stanstead Road, Hoddesdon EN11 0QF.
www.johnwarner.herts.sch.uk T: 01992 462889 F: 01992 470679
Should be Empty:

Exclusion Request (Internal and External)