Aggressive Behavior Report Form

Unit 140 is committed to creating a safe and supportive learning environment for all students. School incidents involving bullying are taken very seriously. When these incidents are reported, support services can be provided to all students involved. This includes the student being bullied, the offender, or a bystander.

The handbook states:

Use of any form or type of aggressive behavior that does physical or psychological harm to someone else and/or urging other students to engage in such conduct. Prohibited aggressive behavior includes, without limitation, the use of violence, force, noise, coercion, threats, intimidation, fear, bullying, or other comparable conduct. “Bullying” is defined to include, but is not limited to, any aggressive or negative gesture, or written, verbal or physical act that places another student in reasonable fear of harm to his or her person or property, or that has the effect of insulting or demeaning any student in such a way as to disrupt or interfere with the school’s educational mission or the education of any student.  Bullying most often occurs when a student asserts physical or psychological power over, or is cruel to, another student perceived to be weaker. Such behavior may include but is not limited to: hazing, pushing, hitting, threatening, name-calling or other physical or verbal conduct of a belittling or browbeating nature.  The parent(s)/guardian(s) of students who commit any act of bullying will be notified.  The School District is committed to early intervention to help prevent acts of bullying and reserves the right to make referrals for these students to appropriate mental health professionals.

This form has been created to help provide a safe means of reporting an incident of bullying to school personnel. It is designed to remain anonymous and it is encouraged that bystanders of bullying incidents report their observations so appropriate action can be taken. Victims of bullying are also encouraged to use this form as well as reporting the incident directly to the staff in Unit 140.

Thank you for taking the time to complete this form. The district appreciates your help in maintaining a safe environment for our students.

Which school does the victim attend?

Congerville Elementary

Goodfield Elementary

Davenport Elementary

Eureka Middle School

Eureka High School