SCHOOL UNION #103 

School Bus Conduct Report

 

DATE:                                                             ___:___ A.M. or P.M.                  {   }CITATION #1

                                                                                                                             {   }CITATION #2

PUPIL’S NAME:________________________________________                 {   }CITATION #3

                                                                                                                             {   }CITATION #4

SCHOOL:______________________________________________

 

DRIVER:                                                                                                BUS#                                   

 

DESCRIPTION OF MISBEHAVIOR

 

 

DISCOURTESY

 

REFUSES TO OBEY DRIVER/CHAPERONE

 

MARKING/DEFACING

BUS

 

VIOLATION OF SAFETY PROCEDURES

 

DESTRUCTION OF PROPERTY

 

OUT OF SEAT

 

ROWDINESS

 

SHOUTING

 

PROFANITY/VULGAR LANGUAGE

 

THROWING OBJECTS

 

FIGHTING/PUSHING/

TRIPPING

 

SMOKING

 

LITTERING

 

RUDE/DISCOURTEOUS/

ANNOYING

 

EATING/DRINKING

WITHOUT PERMISSION

 

EXCESSIVE MISCHIEF

 

OPENING WINDOWS AND DOORS WITHOUT PERMISSION

 

OTHER-________________

_______________________

 

WARNING FOR MISCONDUCT ON BUS

 

CITATION #1: Citation sent home with student to parent/guardian and must be signed by parent/guardian and presented to the bus driver BEFORE riding privileges can be resumed.

 

CITATION #2: Citation sent home with student to parent/guardian and must be signed by parent/guardian and presented to the bus driver BEFORE riding privileges can be resumed.

 

CITATION #3: Citation results in automatically forfeiting the privilege of riding the bus for five (5) school days. Citation must be signed by parent/guardian and presented to the bus driver BEFORE riding privileges can be resumed following suspension.

 

CITATION #4: Student and parent/guardian must attend a school committee meeting and request to have bus riding privileges restored BEFORE riding privileges can be resumed.

 

NOTE: Misconduct of a serious nature may result in Citation #3 or #4, even if it is the first infraction.  Suspension/expulsion from one bus means suspension/expulsion from all buses.

 

Bus Driver: Give completed form to Principal

Principal:    Keep original . . send copy to Superintendent’s Office

 

DATE ADOPTED: July 1, 2003                                                                                                         


ParentSignature: