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  • Anti Bullying Procedures For Primary and Post Primary Schools Appendix 3 Template For Recording Bullying Behaviour

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    Carmen Allende Cueto
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    This document provides a template for recording incidents of bullying at St. Anne's School in Madrid. The template includes spaces to record the name of the bullied pupil and class, name(s) of the bullying pupil(s) and class(es), source and location of the reported bullying, name of the reporter, type of bullying behavior, and details of actions taken in response. Teachers are to sign and date completed templates before submitting them to the Head/Principal.

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    Anti-Bullying-Procedures-for-Primary-and-Post-Primary-Schools-Appendix-3-Template-for-recording-bullying-behaviour (1) (1)

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    This document provides a template for recording incidents of bullying at St. Anne's School in Madrid. The template includes spaces to record the name of the bullied pupil and class, name(s) of the bullying pupil(s) and class(es), source and location of the reported bullying, name of the reporter, type of bullying behavior, and details of actions taken in response. Teachers are to sign and date completed templates before submitting them to the Head/Principal.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    Anti Bullying Procedures For Primary and Post Primary Schools Appendix 3 Template For Recording Bullying Behaviour

    Uploaded by

    Carmen Allende Cueto
    This document provides a template for recording incidents of bullying at St. Anne's School in Madrid. The template includes spaces to record the name of the bullied pupil and class, name(s) of the bullying pupil(s) and class(es), source and location of the reported bullying, name of the reporter, type of bullying behavior, and details of actions taken in response. Teachers are to sign and date completed templates before submitting them to the Head/Principal.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    St.

    Anne’s School Madrid

    Template for recording bullying behaviour

    1. Name of pupil being bullied and class group

    Name _________________________________________Class__________________

    2. Name(s) and class(es) of pupil(s) engaged in bullying behaviour


    _________________________________________________________________________________
    _________________________________________________________________________________
    _________________________________________________________________________________

    3. Source of bullying concern/report 4. Location of incidents (tick


    (tick relevant box(es))* relevant box(es))*
    Pupil concerned   Playground  
    Other Pupil   Classroom  
    Parent   Corridor  
    Teacher   Toilets  
    Other   School Bus  
    Other  
    5. Name of person(s) who reported the bullying concern

    6. Type of Bullying Behaviour (tick relevant box(es)) *


    Physical Aggression Cyber-bullying
    Damage to Property Intimidation
    Isolation/Exclusion Malicious Gossip
    Name Calling Other (specify)

    7. Where behaviour is regarded as identity-based bullying, indicate the relevant category:

    Homophobic Disability/SEN Racist Membership of Other (specify)


    related Traveller community

    8. Brief Description of bullying behaviour and its impact

    9. Details of actions taken

    Signed ______________________________ (Relevant Teacher) Date ___________________________

    Date submitted to Head/ Principal ___________________

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