Report Bullying/Harassment
Bullying or harassing behavior is any pattern of gestures or written, electronic or verbal communications, or any physical act or threatening communications, or any act reasonably perceived as being motivated by any actual or perceived differentiating characteristics that (a) place a student or school employee in actual and reasonable fear of harm to his or her person or damage to his or her property, or (b) creates or is certain to create a hostile environment by substantially interfering with or impairing a student’s educational performance, opportunities or benefits.

If you fear that you are or another student is in IMMEDIATE danger, contact your building principal immediately.
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Email *
Parent Name *
Parent Contact Number *
Parent Email *
Please answer the questions below honestly and specifically. Please provide details about the incident.
Date of incident *
MM
/
DD
/
YYYY
What happened? *
Where did it happen? *
Who was involved? *
Where there any witnesses: *
Who are the witnesses?
Have you spoken to anyone about this incident? *
Who did you speak to about this incident?
Has this happened before? *
If it has happened before, describe any previous incidents.
Projected Solution *
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