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BUS CONDUCT REPORTS

BUS CONDUCT FORM:

1.
*

STUDENT NAME

2.
*

GRADE

3.
*

SCHOOL

ABVM
FAIRVIEW
GLENBROOK
HILLCREST
LANNOYE
HIGH SCHOOL
MIDDLE SCHOOL
SUNNYSIDE
PRIVATE/OTHER
4.
*

DATE(S) INCIDENT OCCURRED:

5.
*

VIOLATION

FIGHTING/SAFETY PROCEDURES VIOLATED
UNACCEPTABLE LANGUAGE
INSUBORDINATION/DISRESPECT TO DRIVER
DESTRUCTION OF PROPERTY
TOBACCO/ALCOHOL/DRUG USE OR POSSESSION
BULLYING - PHYSICAL
BULLYING - VERBAL
BULLYING - CYBER
BULLING - PSYCHOLOGICAL
6.
*

ACTION TAKEN (BY BUS DRIVER AND/OR ADMINISTRATOR)

Use your Ctrl & Shift keys to select multiples.

EXPLAIN VIOLATION(S) IN COMMENT SECTION.  THE SAME DISCIPLINARY ACTION MAY BE REPEATED IF CIRCUMSTANCES WARRANT.

 

7.
*

COMMENT SECTION (A BRIEF EXPLANATION OF FACTS OF THE INCIDENT IS REQUIRED)

8.
*

# OF TIMES STUDENT HAS BEEN REPORTED:

9.
*

BUS DRIVER NAME

10.
*

ROUTE#

This document routes to the Transportation Coordinator and is forwarded to the appropriate administrator for review. The Principal will reply to the bus conduct report and forward the response back to the Transportation Coordinator.

* Enter Your Email Address:

Type in the text that you see above:

  

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143 W Green Bay St.
PO Box 36
Pulaski, WI 54162
Phone: 920-822-6000
Fax: 920-822-6005
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