Brunswick City Schools Transportation Discipline Report

This form is used to report discipline issues to building administrators.

NOTE: If Student Name is blank, go click here to complete form.

Student Name: Student Name: First Last
Bus Number
School
Grade
Date of Incident Date of Incident / MM / DD YYYY
Time of Incident Time of Incident : HH MM AM/PM
Offense:

Offense: First Second Third Fourth Fifth Subsequent (>5)
Specific Description of Pupil Behavior
Check mark the box(es) regarding specific misconduct(s):

Check mark the box(es) regarding specific misconduct(s): Does not arrive at the bus stop on time. Does not wait clear of traffic away from the bus stop. Fighting, scuffling, spitting, or hitting other pupils. Loading or unloading the bus improperly. Refusal to share a seat with other pupil(s). Refusal to sit in assigned seat. Refusal to remain in seat while bus is in motion. Loud talk, screaming, or boisterous conduct. Whistling or calling out to people outside the bus. Talking at railroad crossings. Throwing things in the bus, or out the window. Eating or drinking on the bus. Refusal to obey instructions of the bus driver. Talking back. Obscenities or "off color" words or gestures. Profanity. Vandalism: destruction of seats, marking on seats, other (explain). Use of squirt guns/bottles. Use of tobacco or causing open flame on the school bus. Possession of drugs or alcohol. Other Other
Description of Event & Comments:

Do not use other students names when writing the description.
Specific description of driver's efforts to correct this pupil's behavior:
Prior Action Taken:

Prior Action Taken: Talked with Student Talked to Parent Moved Student Assigned Seat None
Driver Name:
Drivers Email
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Report Date: Report Date: / MM / DD YYYY
Student ID
Maximum of 6 characters allowed. Currently Entered: 0 characters.
School Code (BRHS,BRMS,BRAE,etc.)
Maximum of 4 characters allowed. Currently Entered: 0 characters.

Brunswick City Schools Transportation Discipline Report

Brunswick City Schools Transportation Discipline Report

Specific Description of Pupil Behavior