Positive Behavior and Intervention System Parental Request for Assistance
At Central Park, we are committed to giving every student a positive learning environment through our Tier 1 component of Positive Behavior Intervention Support (PBIS). However, some students require a little more assistance than others. You can also come to the school to request the assistance in writing. This program is for students that have been sent to in-school suspension (GASP), out-of-school suspensions, repeated referrals to the office staff for disciplinary reasons, & concerns for social & emotional development for students. Any information submitted is confidential & will be shared with PBIS Committee members only.
This request is not a request for a teacher conference, nor a request for counseling. If a teacher conference is needed, please contact the teacher directly. If you would like to discuss a counseling request, please contact Ms. Shidler at 549-6403.
Parent Contact Phone Number
What is your primary concern?
Please select any external behaviors that you have seen your child display or that a teacher has reported to you.
refusing to do his/her work
refusing to follow directions
minor physical contact (i.e. bumping, light pushing)
poor task completion (i.e. starts activities, gets frustrated, then shuts down)
My child does not display these behaviors
Please select any internal behaviors that you have seen your child display or that a teacher has reported to you
sleeps a lot
withdrawn from family
withdrawn from peers
My child does not display any of these behaviors
Please select any contributing factors that you feel have led to your child displaying any of the above behaviors.
class work is too hard
class work is too easy
childhood trauma (i.e. house fires, car accidents)
personal loss (i.e. loss of a family member)
none of the above
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This form was created inside of Bossier Parish Schools.