RefPG2

Code - Action code.

Action Taken by Teacher, Bus Driver, or other Employee - Action code description.

Pg 2 Data

Parent Contact - Parent name.

Date - Date contact made.

Teacher/Employee Recommendations - Use this text box to describe recommendations.

Date School Employee Signed Form - Date of form was created.

Motivations - Click inside the box to select motivation(s).

Others Involved

D - Click this column to remove the specified victim.

Victim - Victims name.

SIDNO - Victims school identification number.

D - Click this column to remove the specified perpetrator or delete the specified referral on this row.

Perpetrator - Perpetrator's name.

SIDNO - Perpetrator's school identification number.

Ref - Perpetrator's referral number.

Staff - Check this box if the event involved a staff member.

Teacher - Check this box if the event involved a teachert

Substitute - Check this box if the event involved a substitute.

Bus Driver - Check this box if the event involved a bus driver.

Other - Check this box if the event involved a type of individual not previously specified.