IC Imagine Anonymous Reporting Form 2018-2019
IC Imagine strives to foster a climate of respect and personal responsibility among students, and does not tolerate bullying or threats in any form. Anyone with knowledge of a situation involving bullying or threats can either report the incident to school officials directly, or complete this form.

All reports will be addressed by IC Imagine administrators or the counseling department. Thank you for your concern and assistance in providing our Champions with a positive learning experience. Please understand that a report does not always result in disciplinary action, but will always be addressed.

Is it Bullying? Listed below are the elements that make up a bullying situation.
Definitions:
- Bullying: unwanted, aggressive behavior that involves a real or perceived power imbalance. The behavior is repeated, or has the potential to be repeated, over time. Bullying often includes actions such as making threats, spreading rumors, attacking someone physically or verbally, and excluding someone from a group on purpose.
- Imbalance of Power: individuals who bully use their power—such as physical strength, access to embarrassing information, or popularity—to control or harm others. Power imbalances can change over time and in different situations, even if they involve the same people.
- Repetition: bullying behaviors happen more than once or have the potential to happen more than once.
Intentional: the purposeful or deliberate act or behavior.

Types of Bullying:
- Verbal bullying: saying or writing mean things. Verbal bullying includes but is not limited to: teasing, name-calling, insults, inappropriate sexual comments, taunting, and/or threatening to cause harm.
- Social or relational bullying: involves hurting someone’s reputation or relationships. Social bullying includes but is not limited to: leaving someone out on purpose, telling other students not to be friends with someone, spreading rumors or lies about someone, and/or embarrassing someone in public purposefully.
- Physical bullying involves hurting a person’s body or possessions. Physical bullying includes but is not limited to: hitting/kicking/pinching, spitting, tripping or pushing, taking or breaking someone’s things, and/or making mean or rude hand gestures.

Is it a Threat?
Definition of Threat: An expression of an intention to inflict injury or damage on an identified or identifiable target (such as another student, staff member or the school building etc.)

THESE ARE THINGS THAT COULD BE REPORTED:
-Safety threats, bullying, harassment or intimidation at school
-Safety threats, bullying, harassment or intimidation outside of school
-Cyberbullying; Facebook, Instagram, YouTube, Snap chat, etc.
-Fights, drugs, alcohol or weapons at school
-Friends who talk about hurting themselves

Date of Incident *
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Time of Incident *
Time
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Location of Incident *
Student(s) and/or Staff Involved *
Your answer
Describe the incident/ concern. Give as much information as you can. *
Your answer
Your Contact Information (optional)
Your answer
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