Student Demerit Form
Document student behavior incidents and assign demerits with this streamlined, modern form.
Student Name
*
First Name
Last Name
Date of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Incident
*
Hour Minutes
AM
PM
AM/PM Option
Grade or Class
*
Please Select
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Other
Reporting Staff Member
*
Location of Incident
*
Please Select
Classroom
Hallway
Cafeteria
Playground
Gym
Bus
Other
Type of Infraction
*
Please Select
Disruptive Behavior
Dress Code Violation
Tardiness
Insubordination
Bullying/Harassment
Property Damage
Other
Description of Incident
*
Number of Demerits Assigned
*
Additional Comments or Actions Taken
Submit Demerit
Should be Empty: