KVHS Report a "Bully" Form
Kankakee Valley School Corporation (KVSC) is committed to providing students a safe and nurturing environment. KVSC has implemented an anonymous reporting system for anyone who is a victim of bullying or witnesses bullying at school. The form allows students, parents, and any community member to anonymously report bullying through a link on the KVSC website.
Click "Submit" when finished. An email will be sent immediately to KVSC administration. Thank you for helping make Kankakee Valley School Corporation a safer place for all students.
If this is an emergency, please call 911.
Your Name (optional)
Please provide the first and last name of the target(s) of the bully incident.
Please provide the first and last name of the bully(ies) involved in this incident.
Please select a location where the bullying incident occurred.
If the bullying incident occurred on a bus, please select "Other" and type in the bus number.
Kankakee Valley High School
Kankakee Valley Middle School
Kankakee Valley Intermediate School
Please tell us the date and time of the incident.
Please select the type of bullying that occurred.
Note: Select all that apply
Physical - Hitting/kicking/other physical aggression
Verbal - Teasing/name-calling/put-downs/behavior that would hurt others' feelings or make them feel badly
Emotional/Exclusion- Starting rumors/telling others not to be friends with someone/actions that would cause someone to be without friends
Cyber - Using an electronic medium to engage in any previously mentioned 'bullying'
Please give a detailed description of the incident.
Please provide the first and last name of witnesses to the bullying incident.
By selecting "Yes" I hereby confirm that I have truthfully reported this incident and that my report contains no false allegations. *
Please click the "Sumbit" button to send your report.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of Kankakee Valley School Corporation.
Terms of Service