SWIS 5.6 Office Referral Form Definitions

Minor Problem Behaviors
Minor Problem Behavior	Definition	
Defiance
 (M-Defiance)	Student engages in brief or low-intensity failure to follow directions or talks back.	
Disrespect
(M-Disrespct)	Student delivers low-intensity, socially rude or dismissive messages to adults or students.	
Disruption
(M-Disruption)	Student engages in low-intensity, but inappropriate disruption.	
Dress Code
Violation
(M-Dress)	Student wears clothing that is near, but not within, the dress code guidelines defined by the school/district.	
Inappropriate Language
(M-Inapp Lan)	Student engages in low-intensity instance of inappropriate language.	
Other
(M-Other)	Student engages in any other minor problem behaviors that do not fall within the above categories.	
Physical Contact/ Physical Aggression
(M-Contact)	Student engages in non-serious, but inappropriate physical contact.	
Property Misuse
(M-Prpty Misuse)	Student engages in low-intensity misuse of property.	
Tardy
(M-Tardy)	Student arrives at class after the bell (or signal that class has started).	
Technology Violation
(M-Tech)	Student engages in non-serious, but inappropriate (as defined by school) use of cell phone, pager, music/video players, camera, and/or computer.	

Major Problem Behaviors
Major Problem Behavior	Definition	
Abusive Language/ Inappropriate Language/ Profanity
(Inapp Lan)	Student delivers verbal messages that include swearing, name calling, or use of words in an inappropriate way.	
Arson
(Arson)	Student plans and/or participates in malicious burning of property.	
Bomb Threat/
False Alarm
(Bomb)	Student delivers a message of possible explosive materials being on-campus, near campus, and/or pending explosion.	
Bullying
(Bullying)	The delivery of direct or technology-based messages that involve intimidation, teasing, taunting, threats, or name calling. 	
Defiance/ Insubordination/
Non-Compliance
(Defiance)	Student engages in refusal to follow directions or talks back.	
Disrespect
(Disrespct)	Student delivers socially rude or dismissive messages to adults or students.	
Disruption
(Disruption)	Student engages in behavior causing an interruption in a class or activity. Disruption includes sustained loud talk, yelling, or screaming; noise with materials; horseplay or roughhousing; and/or sustained out-of-seat behavior. 	
Dress Code Violation
(Dress)	Student wears clothing that does not fit within the dress code guidelines practiced by the school/district.	
Fighting
(Fight)	Student is involved in mutual participation in an incident involving physical violence.	
Forgery/ Theft/Plagiarism
(Theft)	Student is involved by being in possession of, having passed on, or being responsible for removing someone else's property; or the student  has signed a person’s name without that person’s permission, or claims someone else’s work as their own.	
Gang Affiliation Display
(Gang Display)	Student uses gesture, dress, and/or speech to display affiliation with a gang.	
Harassment
(Harass)	The delivery of disrespectful messages in any format related to gender, ethnicity, sex, race, religion, disability, physical features, or other protected class.	
Inappropriate Display of Affection
(Inapp affection)	Student engages in inappropriate, consensual (as defined by school) verbal and/or physical gestures/contact, of a sexual nature to another student/adult. 	
Inappropriate Location/ Out of Bounds Area
(Out Bounds)	Student is in an area that is outside of school boundaries (as defined by school).	
Lying/Cheating
(Lying)	Student delivers message that is untrue and/or deliberately violates rules.	
Other Behavior
(Other)	Student engages in problem behavior not listed.  	
Physical Aggression
(PAgg)
	Student engages in actions involving serious physical contact where injury may occur (e.g., hitting, punching, hitting with an object, kicking, hair pulling, scratching, etc.).	
Property Damage/Vandalism
(Prop dam)	Student participates in an activity that results in destruction or disfigurement of property.	
Skip class
(Skip)	Student leaves or misses class without permission.	
Tardy
(Tardy)	Student is late (as defined by the school) to class or the start up of the school day (and Tardy is not considered a minor problem behavior in the school).	
Technology Violation
(Tech)	Student engages in inappropriate (as defined by school) use of cell phone, pager, music/video players, camera, and/or computer.	
Truancy
(Truan)	Student receives an ‘unexcused absence’ for ½ day or more. 	
Use/Possession of Alcohol
(Alcohol)	Student is in possession of or is using alcohol. 	
Use/Possession of Combustibles
(Combust)	Student is/was in possession of substances/objects readily capable of causing bodily harm and/or property damage (matches, lighters, firecrackers, gasoline, lighter fluid).	
Use/Possession of Drugs
(Drugs)	Student is in possession of or is using illegal drugs/substances or imitations.	
Use/Possession of Tobacco
(Tobacco)	Student is in possession of or is using tobacco.	
Use/Possession of Weapons
(Weapons)	Student is in possession of knives (> 6 in., < 6 in.) and guns (real or look alike), or other objects readily capable of causing bodily harm.

Custom Fields (used in Demonstration School account)
Custom Fields	SWIS allows schools to use custom fields to more clearly define categories within their data.  Examples are listed below.	
Custom Fields Explanation	Categories : The additional information to be collected
Labels: The drop-down items to be available	
Custom Fields Demo	Category: Hallway
Labels:  East Wing, West Wing, Breezeway	
Custom Fields Demo	Category: Bullying
Labels: threats, name calling, teasing/taunting	

Locations
Locations	Definition	
Art Room 
(Art)	The area used for art classes and activities.	
Bathroom/Restroom
(Bathrm)	Areas used by students for taking care of personal needs.	
Bus
(Bus)	The area inside the bus.	
Bus Loading Zone
(Bus zn)	The area used for bus loading and unloading.	
Cafeteria
(Café)	The area used for breakfast and lunch.	
Classroom
(Class)	Areas used for instructional purposes.	
Commons/Common area 
(Common)	Areas shared by students and staff for specific activities.	
Computer Lab
(Comp)	Area used for group computer classes and activities.	
Gym
(Gym)	Areas used for physical education activities.	
Hallway/Breezeway  
(Hall)	Areas designated for passing from one activity/class to another.	
Library
(Library)	The area designated for research and study.	
Locker Room
(Locker rm)	The area used by students to prepare for and completing physical education classes and/or sporting events.	
Music Room
(Music rm)	The area used by students for music activities (e.g., music class, choir, band)	
Off-Campus	An area beyond the property boundary of the school and not affiliated with a school activity.	
Office
(Office)	The area used by school staff for primary school business and management.	
Other Location
(Other)	The location for problem behavior event occurs in a location that is not listed	
Parking Lot
(Park lot)	Areas used for parking vehicles during school hours.	
Playground
(Plygd)	The outside area used for recess breaks.	
Special Event/ Assembly/Field Trip
(Special evt)	Areas used for infrequent activities that occur in and/or out of school.	
Stadium	Area used for athletic/special events.	
Unknown Location
(Unknown)	The location of problem behavior event is not known or undetermined.	
Vocational Room
(Voc Rm)	The area of a school used for vocational classes and activities.	

Perceived Motivation (Function of Behavior)
Perceived Motivation	Definition	
Avoid Adult
(Avoid a)	Student engages in problem behavior(s) to get away from adult(s).	
Avoid Peer(s)
(Avoid p)	Student engages in problem behavior(s) to get away from/escape peer(s).	
Avoid Tasks/Activities
(Avoid task)	Student engages in problem behaviors(s) to get away/escape from tasks and/or activities.	
Obtain Adult Attention
(Ob a attn)	Student engages in problem behavior(s) to gain attention of adult(s).	
Obtain items/Activities
(Ob itm)	Student engages in problem behavior(s) to gain items and/or activities.	
Obtain Peer Attention
(Ob p attn)	Student engages in problem behavior(s) to gain attention of peer(s).	
Other
(Other)	Possible motivation for referral is not listed above. Staff using this area will specify the possible motivation for this student’s problem behavior.	
Unknown Motivation
(Unknown)	Student engages in problem behavior(s) for unclear reasons.	

Others Involved

Others Involved	
Definition	
None
(None)	Student engages in problem behavior incident alone.	
Other
(Other)	Student engages in problem behavior with person not listed above.	
Peers
(Peers)	Student engages in problem behavior incident with peer(s).	
Staff
(Staff)	Student engages in problem behavior incident with staff.	
Substitute
(Substitute)	Student engages in problem behavior incident with substitute.	
Teacher
(Teacher)	Student engages in problem behavior incident with teacher.	
Unknown
(Unknown)	It is unclear if any others were involved in incident.	

Restraint/Seclusion

Restraint/Seclusion	
Definition 	
None	(Default) No restraint or seclusion was used. 	
Restraint	Any measure or condition used to immobilize or reduce the ability of a student to move his or her torso, arms, legs, or head freely. 	
Restraint & Seclusion	The use of both restraint and seclusion. 	
Seclusion	The involuntary confinement of a student alone in a room or area from which the student is physically prevented from leaving. 	
Definitions based on documentation from the U.S. Department of Education on Restraint and Seclusion.	

Action Taken

Action Taken	
Definition	
Action Pending
(Act Pen)	Consequence for referral is pending. Referral will be modified when “action taken” is determined.	
Additional Attendance/ Saturday School
(Sat Sch)	Consequence for referral results in student attending classes on a Saturday.	
Alternative Placement
(Alt Placement)	Consequence for referral results in student being placed in a different educational setting	
Bus Suspension
(Bus susp)	Consequence for referral results in 1-3 day period when student not allowed on the bus.	
Community Service
(Comm svc)	Consequence for referral results in involvement in community service activities or projects.	
Conference with Student
(Conf)	Consequence for referral results in student meeting with administrator, teacher, and/or parent (in any combination).	
Expulsion
(Expul)	Consequence for referral results in student being dismissed from school for one or more days.	
In-School Suspension
(In-sch susp)	Consequence for referral results in a period of time spent away from scheduled activities/classes during the school day.	
Individualized Instruction
(Intruct)	Consequence for referral results in student receiving individualized instruction specifically related to the student’s problem behaviors.	
Loss of Privilege
(Loss priv)	Consequence for referral results in student being unable to participate in some type of privilege.   	
Other Action Taken
(Other)	Consequence for referral results in administrative decision that is not listed.  Staff using this area will specify the administrative action taken.	
Out-of-School Suspension
(Out-sch susp)	Consequence for referral results in a 1-3 day period when student is not allowed on campus. 	
Parent Contact
(Parent)	Consequence for referral results in parent communication by phone, email, or person-to-person about the problem.	
Restitution/Community Service
(Restitution)	Consequence for referral results in apologizing or compensating for loss, damage, or injury; community services.	
Time in Office
(Office)	Consequence for referral results in student spending time in the office away from scheduled activities/classes.	
Time Out/Detention
(Detent)	Consequence for referral results in student spending time in a specified area away from scheduled activities/classes.