Report Harassment, Intimidation, or Bullying
Bullying, harassment, or intimidation means intentional conduct, including verbal, physical, or written conduct, or an intentional electronic communication, that creates a hostile educational environment by substantially interfering with a student’s educational benefits, opportunities, or performance, or with a student’s physical or psychological well-being and is motivated by an actual or a perceived personal characteristic including race, national origin, marital status, sex, sexual orientation, gender identity, religion, ancestry, physical attribute, socioeconomic status, gender-idenity, familial status, or physical or mental ability or disability; or threatening or seriously intimidating; and substantially disrupts the orderly operation of a school.

Harassment, intimidation, and / or bullying are serious and will not be tolerated. This form is used to report this behavior if it occurs on school property or at a school sponsored event during the current school year. If you feel that you or someone is a victim of harassment, intimidation, or bullying, please complete the form below. You will be contacted within two school days to begin the investigation.

Today's Date: *
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Your Name (enter in the 'other' box below): *
I am a: *
Contact Phone Number: *
Your answer
Contact Email: *
Your answer
Name and grade/age of targeted student(s) *
Your answer
Name and grade/age of alleged offender(s) *
Your answer
What date did this happen on? *
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Other dates that this happened on:
Your answer
Where did this incident happen? *
Required
Place a check next to the statement(s) that best describe what happened: *
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Describe what happened (the more specific, the more it will assist the investigator): *
Your answer
Why do you think this happened?
Your answer
Was anyone physically injured? *
Is there any additional information that you would like to provide?
Your answer
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