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MUHSD MTSS UDA/DRC Registration 25.26
  1. Please complete the discipline entry in AERIES BEFORE registering student
  2. Print UDA/DRC Active Consent Form 25.26 and all parties sign (site keeps signed document on file)  
  3. Provide the parent with a copy 
  4. Forward any documentation to UDA/DRC (IEP at a glance, Safety Plan, 504, Health Plan)
  5. Contact your site nurse if the student has a condition that ECEC nurse needs to know about 
  6. Arrange transportation for the student 
  7. Request access to student cumulative file and search for previous behavior patterns and previous Interventions
  8. Student must have a reentry meeting upon return from the program with designated site personnel. The meeting must be documented in the Interventions tab in AERIES. 
  9. Tier 2 team decides if student needs Tier 2 support
  10. UDA 1, 2 and 3 are all 3 day programs
  11. NEW-Students who show Tier 2 need and fall into one of these categories: African-American, Foster Youth, or SPED (with two REDS in panorama) should only be suspended for Big 5 or major violations. These students can be sent to DRC for reasons OUTSIDE the norm, but contact with Torrin (325-2053-w or 676-0825-c) must be made prior to registering student. Failure to do so will result in student not being able to attend.
  12. DRC is usually 2 days. If there is a site need to have a student attend DRC for 3 days, contact Torrin (325-2053-w or 676-0825-c)  prior to registering student. Failure to do so will result in student not being able to attend.
Email *
Referring Administrator *
Sending School  *
Program *
Required
Student First Name *
Student Middle Name *
Student Last Name *
Student ID *
Start Date *
MM
/
DD
/
YYYY
Student End Date *
MM
/
DD
/
YYYY
Medical Information (anaphylaxis, asthma, diabetes, seizure, medications taken at school, safety/health plan) *
Has the student displayed any gang behavior, worn any gang attire, associate with gang members? *
Gang Affiliation *
Transportation (how will the student get to and from the program *
Group Designation *
Required
Gender *
Grade *
Violation *
A copy of your responses will be emailed to .
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