Bullying Incident Form
If you believe you have witnessed a bullying event on Herscher CUSD #2 property, please let us know. Please know that reports can be submitted anonymously. We appreciate your help as we better address this issue.
District property where incident was witnessed:
Bonfield Grade School
Herscher Intermediate School
Limestone Middle School
Herscher High School
Please indicate the seriousness of this incident per scale below:
Please check all that apply:
I was directly involved in this incident.
I observed this incident
I heard about this incident. (If checked, please also check 'Other' and identify from whom.)
When did this incident occur? (Include date and time)
To your knowledge, has it happened before?
Yes. (If yes, please also check 'Other' and explain.)
Who was involved? Include the names of those directly involved and any bystanders/witnesses:
Briefly describe the situation:
To your knowledge, has there been any intervention?
Yes (If yes, please also check 'Other' and describe.)
If you would like to sign this report, please click 'Other' and enter your name.
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This form was created inside of Herscher CUSD#2.