Forms & Processes

The following information is from the old LSDVI intranet

Student Activities, Trips, etc.

Activity Request Forms: For Off-Campus Student Activities/Trips

Instructions are on the first page under the "Guidelines" page of the request form

  • Off Campus Activity Request Forms. (PDF)

Food Requests:

  • Meals (Excel)
  • Snacks or Special Events (Excel)
  • Box Meals (Student Life/ALC use only)(Word) (PDF)

School Bank Forms:

  • Travel Authorization Form (PDF)
  • School Bank Deposit Transmittal Form (Excel) (PDF

Students Riding All Terrain Vehicles


Incidents, Discipline, Behavior

Look on this page for forms related to incident reporting, discipline and behavior issues.

Forms used by LSD for Reporting of Incidents, Behavior and Discipline:

  • Behavior Support Plan (Word)
  • DIRECTIONS for Behavior Support Plan (Word)
  • Functional Behavior Assessment Form (Word)
  • DIRECTIONS for Functional Behavior Assessment (Word)
  • Student Health Center Pass (Word) (PDF)
  • Student of the Month Nomination Form (Word)
  • Suspected Child Abuse (OCS Report Form) (PDF)

LSD ABC Dorm Forms:

  • ABC Assignment Form (Word)
  • ABC Point System - Elementary (Word)
  • ABC Point System - Middle School (Word)
  • ABC Point System - High School (Word)

Forms used by both LSD and LSVI:

State Department of Education Forms:

  • School Behavior Report Form A (PDF)
  • School Behavior Report Form B (PDF)
  • School Bus Behavior Report (PDF)


ESYS Forms

Click on the links below for Extended School Year Services forms.

  • ESYS Criteria Documentation Form (PDF) (Word)
  • Letter of ESYS Eligibility Determination and Schedule of IEP Meeting (PDF) (Word)
  • Letter of ESYS Ineligibility Determination (PDF) (Word)
  • Critical Point of Instruction Documentation Form (PDF) (Word)
  • Regression-Recoupment Documentation Form (PDF) (Word)
  • Excessive Absences Documentation Form (PDF) (Word)
  • Employment Documentation Form (PDF) (Word)
  • Transition from Early Steps to Preschool Documentation Form (PDF) (Word)
  • Transition to Post-School Outcomes Documentation Form (PDF) (Word)