Follow the steps to complete the form efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the student's information. Enter the student's name and grade in the designated fields. This section is crucial for identifying the individual involved in the incident.
3. Next, provide the name of the referring teacher and the time the incident occurred. Accurate time and teacher details help in the assessment of the situation.
4. Identify the nature of the incident by selecting the appropriate category under 'Minor' or 'Major' offenses. You may choose from options like disruptive behavior, inappropriate language, defiance, and more.
5. Proceed to detail the location of the incident. Options include halls, classrooms, cafeterias, or other designated areas. This helps contextually place the behavior.
6. If there were other individuals involved, note their roles (e.g., peers, staff) where applicable.
7. Indicate the date of the incident. Accurate dating is essential for tracking behavioral trends and responses.
8. Describe the motivation behind the behavior using the provided list. This can include various factors like seeking attention or avoiding work.
9. Outline the actions or consequences taken in response to the incident. Choose from options such as detention, suspension, or other interventions.
10. Complete the follow-up agreement section by engaging with the student’s perspective. Ask questions about the rules broken and desired outcomes, prompting positive behavioral strategies.
11. Make sure to sign the form at the designated 'Student signature' section. Additionally, the staff or principal should also provide their signature.
12. Finally, decide on the distribution of copies. Indicate who should receive notifications (e.g., parents, counselors) and save your changes, download, print, or share the completed form as needed.

Start filling out the Pbis Discipline Referral Form online today to ensure prompt and effective behavioral documentation.