ENFIELD PUBLIC SCHOOLS
FORM B
INTERNAL INVESTIGATION NOTES
|
For Staff Use Only :
Has student 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 :______________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________
Name of Investigator : ___________________________________________ Date : ______________________
( Attach bullying complaint , witness statements , and notification to parents of students involved if bullying is verified , Invitations to Parent Meetings , Records of Parent Meetings )
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