Student Discipline

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Student Discipline

BETA is concerned about student and teacher safety. We would like to better understand the discipline and safety issues you encounter. Please use this form to help us improve our students learning environments.

Teacher - First & Last Name

School Site *

Student grade level *

Did the incident include any of the following (check all that apply)?

Caused, attempted to cause, or threatened to cause physical injury to another person.

Willfully used force or violence upon the person of another, except in self-defense.

Possessed, sold, or otherwise furnished a firearm, knife, explosive, or other dangerous object.

Possessed, used, sold, furnished, or been under the influence of an alcoholic beverage, or an intoxicant of any kind.

Offered, arranged, or negotiated to sell a controlled substance.

Committed or attempted to commit robbery or extortion.

Caused or attempted to cause damage to school property or private property.

Stolen or attempted to steal school property or private property.

Possessed or used tobacco, or products containing tobacco or nicotine.

Committed an obscene act or engaged in habitual profanity or vulgarity.

Possessed an imitation firearm (looks real)

Committed or attempted to commit a sexual assault or battery

Harassed, threatened, or intimidated a pupil who is a complaining witness or a witness in a school disciplinary proceeding for the purpose of either preventing that pupil from being a witness or retaliating against that pupil for being a witness, or both.

Engaged in, or attempted to engage in, hazing.

Engaged in an act of bullying (pervasive physical, verbal, or written act).

Please describe the incident and any actions taken by you or an administrator.

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