Discipline Tracking Form
Date / Time of Incident
Please note if the incident was during class, recess, lunch, before school, after school for tracking purposes
Type of Incident
Abusive Language Swearing or use of inappropriate words.
Bullying/Harassment Threats, intimidation, gestures, verbal attacks.
Disrespect/Defiance Refusal to follow directions and/or socially rude interactions.
Disruption Yelling, noise with materials, or horseplay.
Fighting Resulting in Injury Hitting, punching, hitting with an object, kicking, scratching.
Theft Removing someone’s property.
Vandalism/Property Damage Substantial destruction of property.
Provide a detailed account of the incident
What actions were taken?
Is there any follow-up required?
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