Bully/Harassment Documentation Form
BULLYING (Defined by the Whitharral ISD Student Handbooks)
Bullying occurs when a student or group of students engages in written or verbal expression or physical conduct against another student and the behavior: • results in harm to the student or the student’s property, • places a student in fear of physical harm or of damage to the student’s property, or • is so severe, persistent, or pervasive that it creates an intimidating, threatening, or abusive educational environment. Bullying is prohibited by the district and could include hazing, threats, taunting, teasing, assault, demands for money, confinement, destruction of property, theft of valued possessions, name-calling, rumor-spreading, and ostracism. In some cases, bullying can occur through electronic methods, called “cyber-bullying.”

If a student believes that he or she has experienced bullying or has witnessed bullying of another student, it is important for the student or parent to notify a teacher, counselor, principal, or another district employee as soon as possible. The administration will investigate any allegations of bullying and will take appropriate disciplinary action if an investigation indicates that bullying has occurred. Disciplinary or other action may be taken even if the conduct did not rise to the level of bullying. Any retaliation against a student who reports an incident of bullying is prohibited.

Are you being bullied? Do you know of someone who is being bullied? Fill out this form with as much information as you can give. These reports will be submitted to your campus administrator and will be investigated.
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Bullying Type
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Incident(s) that Led to Complaint (include specific details: name of accused student, specific threats, language, or actions, frequency of alleged conduct, location(s) of incident(s), prior complaints, injury, property damaged, etc.) *
Identify any persons (students or adults) who were involved in or may be witnessed to the alleged conduct.  (This information is improtant in determining the facts) *
Describe any physical confrontation/face off with accused students
Does student have regular contact with accused student outside school?  
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