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Field Trip/Enrichment Day Discipline Evaluation
This form is to be used to communicate student's Enrichment Day/Field Trip behavior to teachers and parents so they can assist in a resolution or discipline if necessary. Please carefully document the behavior(s) as well as any course(s) of action taken. A copy of this survey will be sent to you. Please forward that email to all necessary teachers and parents.
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* Indicates required question
Email
*
Your email
Email Address
*
Your answer
What is your name?
*
Your answer
When was your enrichment day?
*
MM
/
DD
/
YYYY
Parents in charge
*
Your answer
Teacher & Grade
*
Your answer
What is your phone number?
*
Your answer
Students/people involved
*
Your answer
Please describe the situation from your perspective.
*
Your answer
Were there any witnesses?
*
Yes
No
If yes, list witnesses
*
Your answer
What information did the witnesses give you about the situation?
*
Your answer
How was the situation handled?
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Your answer
Was the situation resolved?
*
Yes
No
Maybe
If yes, how was the situation resolved? If no, do you recommend a course of action?
*
Your answer
Were the parents contacted?
*
Yes
No
Please forward a copy of this form to the class' teacher and to the parent if necessary.
When you submit this survey, a copy will be sent to you. Use that copy to forward to the teacher.
A copy of your responses will be emailed to the address you provided.
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