InstructionsThis form is for students, parents or guardians of students enrolled in the school, and school employees to report any alleged challenging behavioral incidents. Challenging behavior is behavior that negatively impacts school climate or interferes, or is at risk with interfering, with the learning or safety of a student or a school employee. This form should also be used to report alleged bullying incidents, meaning: unwanted and aggressive behavior among children in grades kindergarten to twelve, inclusive, that involves a real or perceived power imbalance.
Complete this form electronically or in writing, or go to your school climate specialist (principal, vice principal, or other certified administrator), who will assist you with completing this form. All completed reports require a response from the school climate specialist, and every student, parent or guardian, and school employee who completed this form will receive a copy of the “Response Process(es) Notification Form” describing the action steps taken within three (3) school business days after an assessment has been completed.
The school climate specialist will assess the facts of a challenging behavior incident and complete the "Response Process(es) Notification Form” (located on page 5 of this document). A confirmation of receipt of the “challenging behavior reporting form” will be provided to the individual who completed this form within three (3) school business days, and the behavioral assessment will be finalized within a reasonable amount of time.
If this is an emergency, and you feel that you or someone else is in imminent danger, please call 911, or your local police department.
These reports are received during school hours only. This form is not to be used to replace appropriate notifications of emergencies and/or reports for those requiring immediate mental health intervention. For emergencies related to immediate safety, including harm to self or others, please contact 911, and utilize 211 for mental health resources and supports. You may also contact the Stonington Police Department at 860-599-4411.
You also have the option to report any incident to the Stonington School District Title IX Coordinator, Mrs. Allison VanEtten. Email
allison.vanetten@stoningtonschools.org or phone (860) 572-0506.
You are also encouraged to report this to your building principal, guidance counselor, teacher, or any trusted adult in your school building.
