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TRANSCRIPT
This notice serves to notify___________________________________________________ Student Name ID #
that he/she has been placed on probation from _______________________________ Organization Name
on___________________ for the following reasons: Date
1. Failed to fulfill club requirements:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
2. Violated rules set by the clubs constitution:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
3. Violated school student code of conduct:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
The student will remain on probation for_____________________ or until he/she Duration of time (dates)fulfills the requirements set forth by the club sponsor and/or administration. He/she will not be able to participate in any activities sponsored by this club until the probation is cleared.
___________________________________ Club Sponsor Date
___________________________________ Notes:Club President Date
___________________________________ Activities Director Date
iMater Academy Charter Middle/High School
Club Member Notice of Probation
iMater Form #020