If you or someone you know has been the victim of bullying please report it on the form below. The definition below outlines what exactly bullying can be:

What is "Bullying"?
This means a single significant act or a pattern of acts by one or more students directed at another student that exploits an imbalance of power and involves engaging in written or verbal expression, by electronic means (cyberbullying), or physical conduct.

Where can "Bullying" take place?
It can occur on school property, at a school-sponsored event or school-related activity, or in a vehicle operated by the

What effects can "Bullying" have on a student?
This involves physically harming a student, causing a student to experience substantial negative mental health
effects, damaging a student's property, or placing a student in reasonable fear of harm to the student's person or of
damage to the student's property; or is sufficiently severe, persistent, and pervasive enough that the action or threat creates an intimidating, threatening, or abusive educational environment for a student.

What can the impact of "Bullying" be?
It can materially and substantially disrupts the educational process or the orderly operation of a classroom or school; or infringes on the rights of the victim at school.
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1. What campus do you attend? *
2. What is the name of the alleged victim(s), or your name?
3. What is the name(s) of the alleged person(s) doing the bullying? *
4. What is the name of the witness(es), you can put none if there was not any?
5. When did this incident take place? *
6. Where did this incident take place? *
7. Which of these best describes what type of alleged bullying you experienced? *
8. Describe in detail, what allegedly happened to you or the person who was being bullied? *
9. Is this the first time you(your friend) has been bullied by this person(s)? *
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This form was created inside of Southwest ISD. Report Abuse