Tracking Report Form #20

State Behavioral Incident Report
2007-2008 School Year

Grade Insubordination Harassment
  Male Female   Male Female
# Inc New Rpt New Rpt # Inc New Rpt New Rpt
K
1
2
3
4
5
6
7
8
9
10
11
12
Totals

Grade Bullying Vandalism
  Male Female   Male Female
# Inc New Rpt New Rpt # Inc New Rpt New Rpt
K
1
2
3
4
5
6
7
8
9
10
11
12
Totals

1. Insubordination includes verbal abuse, failure to follow verbal instructions and/or requests.
2. Harassment includes conduct whether verbal, written, graphic, or physical relating to student’s race, national origin, color, disability or sex that is sufficiently severe, pervasive or persistent.
3. Bullying is defined as intentional, repeated hurtful acts, words or other behavior such as name-calling, threatening and/or shunning committed by one or more children against another. Bullying may be physical, verbal, or emotional in nature.
4. Vandalism includes disrespect, destroying, defacing property and/or buildings.