Adopted:          07/21/2008

                                                                                                                      443.2 Exhibit

School District of Prairie Farm

School Bus Conduct Report

Driver _________________________________________ Bus No. ________________

Student's Name __________________________________________________________

Name of Parent(s)/Guardian(s) ______________________________________________

Date of Offense _______________________________ A.M. ________ P.M. ________

School Student Attends ____________________________________________________

Nature of Offense ________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Has the student been previously warned? ______________________________________

Has the student's parent(s)/guardian(s) been notified? ____________________________

Action taken ____________________________________________________________

________________________________________________________________________

Cross Ref.:       443.2, Student Conduct on School Buses

                        443.2 Rule, Guidelines for Student Conduct on School Buses