Bullying Online Reporting Form
Sapulpa Public Schools strictly prohibits any form of bullying and encourages anyone who has been subject to or witnessed bullying to use this form to report the alleged incident. You may remain anonymous however, it is often difficult to fully investigate claims which are made anonymously.
Bullying reports will be checked during normal school hours. Reports that are filed outside of the typical school day will be reviewed during the next school day. If this is an emergency or life-threatening situation please call 911.
Who are you? (Please check only one)
How may we contact you to follow-up on your incident report? Please list your contact information (if you wish to remain anonymous write N/A).
What type of bullying are you reporting? Please consult Policy 540.1.7 for clarification of the types.
Electronic communication (cyber bullying)
Are you the victim or a witness?
If you are not the victim, please list the victim's name and as much information about that person as you can, i.e. grade, gender, race, nickname, etc.
What was the date of the incident?
What was the time of the incident?
Where did the bullying take place?
Holmes Park Elementary
Jefferson Height Elementary
Liberty Elementary STEM Academy
Sapulpa Middle School
Sapulpa Junior High School
Sapulpa High School
List the name(s) of the alleged offender. Include grade, gender, race.
List the witnesses including students, faculty, and staff. If no one witnessed the incident please write NONE.
Please describe in detail what happened?
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This form was created inside of Sapulpa Public Schools.