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 *
Victim - Last Name *
Describe the incident
Date this issue began *
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Last date this issue occurred *
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Where did this issue occur? *
Who is the alleged bully? *
Has this issue been reported before? *
If Yes, who was it previously reported to?
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