Bus Referral/Conduct Report

	A	B	C	D	E	F	G	H
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2	West Franklin USD #287
3	West Franklin USD #287
4	Bus Referral & Conduct Form
5	Bus Referral & Conduct Form
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8	Bus Conduct Report	Students Name:				School:	WFEA	WFEW
9	West Franklin USD #287						WFMS	WFHS
10	Transportation Department	Bus #:
11	785-566-3392		___ 1st Offense	___ 2nd Offense	____3rd Offense	___4th Offense	___5th Offense	___6th Offense
12	Jessica Wikle	Date of Incident:		______ AM	Driver's Name:
13	Transportation Director			______ PM
14	NOTICE TO PARENTS:
15	The purpose of this report is to inform you of a disciplinary incident involving your student while riding a school bus.
16	Preliminary Actions Taken Prior to Write Up
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18	___ Multiple Verbal Warnings		___ Assigned/Changed Assigned Seat				____ Re-teaching of Expectations
19	Suspension Policy:
20	1st Offense: Warning- Conduct Notice				4th Offense: 3 Day Suspension Off the Bus
21	2nd Offense: Administrative Disciplinary Action				5th Offense: 5 Day Suspension Off the Bus
22	3rd Offense: 1 Day Suspension Off the Bus				6th Offense: 10 Day (or Longer) Suspension Off the Bus
23	Severity Clause: Adminstration has the authority to skip steps.
24	Any step includes administrative authority for additional disciplinary measures to be imposed.
25	Driver's Report
26	__ Violation of Safety Procedures		__ Refusing to Obey Driver			__ Eating- Drinking-Littering
27	__ Destruction of Property		__ Inappropriate Behavior			__ Unacceptable Language
28	__ Fighting- Pushing- Tripping		__ Out of Seat/Not Sitting Correctly			__ Having or Using Tabacco/ Alcohol/ Vapes
29	__ Screaming/ Yelling		__ Bullying			or other illicit substances on bus
30	__ Yelling at, or threatening driver		__ Throwing Objects (In or Out Bus)			__ Sexual Misconduct- Words or Actions
31	___ Other: _________________		__ Hitting/ Kicking			__ Arm/Head/ Body out Window
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34	Comments:	___________________________________________________________________________________________________
35	________________________________________________________________________________________________________________________________
36	________________________________________________________________________________________________________________________________
37	________________________________________________________________________________________________________________________________
38	________________________________________________________________________________________________________________________________
39	________________________________________________________________________________________________________________________________
40	________________________________________________________________________________________________________________________________
41	________________________________________________________________________________________________________________________________
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44	Suspension Date:		Starting _________________			Ending _________________
45	Suspension Date:
46			Students may start riding the bus again on the morning of the ending date.
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49	Driver's Signature:			Principal's Signature:
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51		Transportation Director's Signature:
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53	Parental verbal notification given to:	____________________________________________		by____________________________		Date/Time	___________________________
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