searcy public schools bus conduct report
SEARCY PUBLIC SCHOOLS BUS CONDUCT REPORT Date of Incident____________________________________ Student’s Name____________________________________________ SCHOOL ATTENDING ______Searcy High
Time of Incident___________________________________
Bus #_______
______Ahlf Jr. High
Driver___________________________ NOTICE TO PARENTS
The purpose of this report is to inform you of a disciplinary incident involving your child on the school bus. You are urged to appreciate the action taken by the driver and to cooperate with the corrective action initiated. Bus conduct may also be reflected in your child’s citizenship grade.
______Southwest Middle School ______Searcy McRae ______Westside ______Sidney Deener DRIVER’S REPORT:
____Student Assault ____Vandalism ____Public Display of Affection ____Disorderly Conduct ____Tobacco ____Bus Misconduct ____Terroristic Threat ____Too Noisy ____Insubordination ____Excessive Mischief ____Violation of Safety Procedures ____Stealing/Theft ____Eating-Drinking-Littering ____Unacceptable Language/Gestures ____Cell phone/Electronic Device ____*Other< >
Description of Incident:_________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ Preliminary Action:
Present Action & Recommendation
_____1st Notice
_____Checked student’s folder
_____Warning
_____2nd Notice
_____Held conference with student _____Bus suspension for _____day(s)
_____3rd Notice
_____Consulted counselor
_____Bus Expulsion
_____Severe Notice
_____Telephoned parent
_____Other______________________________________ *Other possible codes:
__________________________________________ Administrator’s Signature __________________________________________ Parents Signature
01 Drugs 09 Rifle
02 Alcohol 10 Shotgun
06 Staff Assault 11 Club
Copies:
Parent Office Returned Signed to Principal Transportation Supervisor
07 Knife 12 Gangs
Driver
08 Handgun
Time of Incident___________________________________
Bus #_______
______Ahlf Jr. High
Driver___________________________ NOTICE TO PARENTS
The purpose of this report is to inform you of a disciplinary incident involving your child on the school bus. You are urged to appreciate the action taken by the driver and to cooperate with the corrective action initiated. Bus conduct may also be reflected in your child’s citizenship grade.
______Southwest Middle School ______Searcy McRae ______Westside ______Sidney Deener DRIVER’S REPORT:
____Student Assault ____Vandalism ____Public Display of Affection ____Disorderly Conduct ____Tobacco ____Bus Misconduct ____Terroristic Threat ____Too Noisy ____Insubordination ____Excessive Mischief ____Violation of Safety Procedures ____Stealing/Theft ____Eating-Drinking-Littering ____Unacceptable Language/Gestures ____Cell phone/Electronic Device ____*Other< >
Description of Incident:_________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ Preliminary Action:
Present Action & Recommendation
_____1st Notice
_____Checked student’s folder
_____Warning
_____2nd Notice
_____Held conference with student _____Bus suspension for _____day(s)
_____3rd Notice
_____Consulted counselor
_____Bus Expulsion
_____Severe Notice
_____Telephoned parent
_____Other______________________________________ *Other possible codes:
__________________________________________ Administrator’s Signature __________________________________________ Parents Signature
01 Drugs 09 Rifle
02 Alcohol 10 Shotgun
06 Staff Assault 11 Club
Copies:
Parent Office Returned Signed to Principal Transportation Supervisor
07 Knife 12 Gangs
Driver
08 Handgun
