If your students ever have a conflict with another student(s) or are bullied by other student(s), this form is helpful.
You and the student fill out this form together. Document honest and accurate information that is given. Keep track of how many times conflicts and/or bullying happens in your classroom or school. These sheets can be placed in a Conflict/Bullying File in your administrators office.
There are 2 sheets, print them back to back. One side is the report and the other side is a way to keep track of who was notified and how many students were involved. The administrators/office should initial and date when they spoke to the students, parents, or teachers, as well as discipline and follow-up intervention.
The 3rd sheet is a Bully Pledge that your students should remember. This is a great way to be proactive in your school and classroom.