Bullying Reporting Form

The China Spring School Independent District believes in providing a safe and healthy environment that fosters respect and culturally responsive practices for all.

We have created this online form to make it as easy as possible for students to confidentially report incidents of bullying and harassment.
What is Bullying?
Bullying includes aggressive or hostile behavior that is intentional and involves an imbalance of power between the bully and the bullied. It is typically repeated over time.

Bullying takes many forms, including, but not limited to, physical or verbal assaults, nonverbal or emotional threats or intimidation, social exclusion and isolation, extortion, and the use of a computer or telecommunications to send embarrassing, slanderous, threatening, or intimidating messages. Bullying is a form of victimization and is not necessarily a result of or part of an ongoing conflict. Bullying can also be characterized by teasing, put-downs, name-calling, cruel rumors, false accusations, and hazing.

The China Spring Independent School District takes allegations of bullying seriously and will respond promptly to complaints and allegations of bullying.
What is harassment?
Harassment may take many forms, including verbal acts and name-calling; graphic and written statements, which may include use of cell phones or the Internet; or other conduct that may be physically threatening, harmful, or humiliating. Harassment does not have to include intent to harm, be directed at a specific target, or involve repeated incidents. Harassment creates a hostile environment when the conduct is sufficiently severe, pervasive, or persistent so as to interfere with or limit a student’s ability to participate in or benefit from the services, activities, or opportunities offered by a school. When such harassment is based on race, color, national origin, sex, or disability, it violates the civil rights laws. (from: http://www2.ed.gov/about/offices/list/ocr/letters/colleague-201010_pg2.html)

The China Spring Independent School District takes allegations of harassment seriously and will respond promptly to complaints and allegations of harassment.

How you can help yourself/your child: http://www.stopbullying.gov/
http://www.ncpc.org/topics/bullying/what-parents-can-do
Report a Bullying Incident:
School you attend: *
Individuals involved? *
Your answer
Please describe what happened: *
Your answer
Where (school and location, i.e. hall, lunchroom, playground, etc.) did the incident occur? *
Your answer
Were there any witnesses? Who?
Your answer
How often has the bullying occurred?
Your answer
How have you responded to the bullying?
Your answer
Have you spoken with anyone about the incident? (Optional: who?)
Your answer
Who do you want to be notified of this incident? *
Your answer
What would you like the response to be? *
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