Bully Prevention Plan

BULLYING PREVENTION PLAN

Submit this Bullying Prevention Plan by October 10, 2023.
Explain how you will use $750 to support attainment of the goal of bullying prevention.
ONLY NON-PERSONNEL SERVICES ARE PERMITTED; i.e., VENDOR-PROVIDED SUPPLIES AND SERVICES.
Principals will be notified by October 23rd of the decision.
If approved, principals will be required to submit P-9S order forms in Formstack, approved by the principal, by November 17th.

Year

SCHOOL/PRINCIPAL INFORMATION

SCHOOL *

Select from the drop down list.

PRINCIPAL: NAME*

First Name

Last Name

PRINCIPAL: EMAIL*

BACKGROUND DATA

# Reported Bullying Incidents 2022-23*

# Bullying Incidents 2023-24 as of 9-30-23.*

Do you agree to conduct a BULLYING PREVENTION ASSEMBLY for students by April 15, 2024?*

Yes No

What activities have you conducted to date to improve prevention?*

SMART GOAL

What is your SMART GOAL for bullying prevention?*

ACTIVITIES

Describe the major prevention activities you will conduct with the allocated resources?*

BUDGET

Complete the fields to detail the instructional materials and supplies to be purchased from vendors.

ONLY VENDOR-SUPPLIED SERVICES ARE PERMITTED.

Item A: Description*

Item A: Quantity*

Item A: Unit Cost* $

Item A: Amount $

Item B: Description*

Item B: Quantity*

Item B: Unit Cost* $

Item B: Amount $

Item C: Description*

Item C: Quantity*

Item C: Unit Cost* $

Item C: Amount $

Item D: Description*

Item D: Quantity*

Item D: Unit Cost* $

Item D: Amount $

Item E: Description*

Item E: Quantity*

Item E: Unit Cost* $

Item E: Amount $

BUDGET TOTAL

Total Amount* $

MUST BE WITHIN $1 OF $750.

PRINCIPAL'S SIGNATURE

If this plan is approved, I agree to adhere to the guidelines with fidelity.*

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Use your mouse or finger to draw your signature above