Dignity Act Reporting Form
The Dignity Act is designed to protect public schools students from bullying by employees or other students based on actual or perceived race, color, weight, national origin, ethnic group, religion, religious practice, disability, sexual orientation, gender, or sex.

The purpose of this form is to inform the District of an incident or series of incidents of discrimination or harassment (which includes bullying) so that we can investigate and take appropriate steps.

Definition: conduct, verbal threats, intimidation or abuse that reasonably causes or would reasonably be expected to cause a student to fear for his or her physical safety based on one of the protected classes below, the effect of which reasonable and substantially interferes with a student’s educational performance, opportunities or benefits.
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Please select The Dignity Act protected category applicable to the incident that you are reporting. Please also include if this incident is real or perceived: (select at least 1) *
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