Bullying Incident Report
BULLYING- Bullying is unwanted, aggressive behavior among students that involves a real or perceived power imbalance. The behavior can be isolated or repeated over time.
The repeated acts or gestures can include:
verbal or written communications transmitted, physical acts committed, or any other behaviors committed by a student or group of students against another student with the intent to harass, ridicule, humiliate, intimidate, or harm the student lacking power.
PEER CONFLICT- Peer conflict differs from bullying because involved parties are mutually agreeing through demonstrated actions that they are in conflict with each other. Bullying is one-sided. When people say hurtful things to each other or refuse to speak to each other, that is considered peer conflict. Also, if a person is spreading rumors about you and you have ALSO been spreading rumors or talking bad about them, that is considered conflict.
If you believe that your situation is bullying then please fill out this form. If you think you have a situation involving Peer Conflict, please speak with a trusted adult (teacher, principal, parent) on the best ways to resolve your conflict.
Name of student making the report:
Please include first name, last name, and middle initial. School officials will take every measure possible to keep your name confidential.
Name of potential bully/ bullies:
Please include first and last name if known.
How often is this happening (this school year):
More than twice
Where is this happening?
Bus/ Bus Stop
What is happening?
Please describe in detail the incident(s) of bullying that you are reporting, including the names of any other students who may have witnessed the incident.
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This form was created inside of Oak Grove SD #68.