Bullying Reporting Form
Bullying as defined by IC 20-33-8-0.2 means overt, unwanted, repeated acts or gestures, including verbal or written communications or images transmitted in any manner (including digitally or electronically), physical acts committed, aggression, or any other behaviors, that are committed by a student or group of students against another student with the intent to harass, ridicule, humiliate, intimidate, or harm the targeted student and create for the targeted student an objectively hostile school environment
Today's Date *
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Incident that occurred *
Victim - First Name *
Your answer
Victim - Last Name *
Your answer
Describe the incident
Your answer
Date this issue began *
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Last date this issue occurred *
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Where did this issue occur? *
Your answer
Who is the alleged bully? *
Your answer
Has this issue been reported before? *
If Yes, who was it previously reported to?
Your answer
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