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
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