SAD 31 Home District CalendarDistrict Enfield Station School Hichborn Middle School More Documentation of Disciplinary and Remedial Actions Taken Maine School Administrative District No. 31 MSAD #31: BULLYING: SUMMARY OF DISCIPLINARY AND REMEDIAL ACTIONS This page is for use when a substantiated incident of bullying is entered into the Report of Substantiated Incident of Bullying in the Maine Department of Education’s NEO data reporting system. It is aligned with the NEO data categories. This documentation is in reference to the alleged incident of bullying reported on: [Date of incident] Name of student who was found to have bullied _______________ (name is for tracking in school unit files only; do not report name of student or any personally identifying information to the Maine Department of Education) Delineate the specific nature(s) of the incident: _____ Cyberbullying _____ Electronic expression _____ Physical act or gesture _____ Retaliation _____ Verbal/Oral _____ Written Alternative discipline imposed for this student (actions taken): _____ Meeting with the student and the student's parent(s) or guardian(s) _____ Reflective activities, such as requiring the student to write an essay about the student's misbehavior _____ Mediation, but only when there is mutual conflict between peers, rather than one-way negative behavior, and both parties voluntarily choose this option _____ Counseling _____ Anger management _____ Health counseling or intervention _____ Mental health counseling _____ Participation in skills building and resolution activities, such as social/ emotional/ cognitive skills building, resolution circles and restorative conferencing _____ Community service The student received/will receive the following discipline actions (consequences): _____ Alternative Discipline _____ Detention _____ Weekend Detention _____ In-school suspension _____ Out-of-school suspension _____ Expulsion/Recommended for expulsion The following serves as a record that a report of substantiated bullying has been submitted to the Maine Department of Education. ___________________________________________ Date: ______ Signature and position of person completing this form Data reported to Maine DOE (NEO) on [Date] by ___________________________ Signature, Position of Reporter Copy to building principal on [Date] Copy to Superintendent on [Date] First Reading: 01/03/2013 Second Reading/Adoption: 01/16/2013 Amendment/First Reading: 03/29/2017 Second Reading/Adoption: 04/12/2017 Copyright 2013 SAD#31. All rights reserved. This site uses cookies from Google to deliver its services and to analyze traffic. Information about your use of this site is shared with Google. By using this site, you agree to its use of cookies. LEARN MOREGOT IT