EHS Student Handbook 2021 | Page 57

FORM B ENFIELD PUBLIC SCHOOLS INTERNAL INVESTIGATION NOTES FOR REPORTS OF BULLYING BEHAVIORS For Staff Use Only: Has student reporter requested anonymity? Y N Does the school have parent/guardian consent to disclose that a complaint as to this student has been filed in connection with the investigation? Y N Administrative Investigation Notes (use separate sheet if necessary): _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________ Bullying Verified? Yes ___ No ____ Remedial Action(s) Taken:_______________________________________________________________________________ _____________________________________________________________________________________ _______________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _______ (Attach bullying complaint and witness statements. If bullying is verified, attach notification to parents of students involved, invitation to parent meetings, and records of parent meetings). Adopted: January 24, 2012 Revised: March 27, 2012 Revised: May 12, 2015 57