Report Bullying
REPORT A BULLYING INCIDENT

While the district already has many programs to help students deal with challenges such as bullying behaviors, stress, peer pressure, and family problems, Report a Bullying Incident helps break the code of silence often experienced by students because it allows them to report concerns to administrators anonymously.

IMPORTANT NOTE: This is not a crisis line. In cases of emergency, please call 911!

Please complete this form to the best of your knowledge so we can assist you.
This information will be kept confidential with the campus administrator and/or director and/or district administrator.

Please Fill Out The REPORT A BULLYING INCIDENT Below
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 Who was being bullied?
first and last name if possible
 *
 Which campus? *
Date of Incident *
MM
/
DD
/
YYYY
 Who was the person or persons engaged in bullying? (first and last name if possible) *
Time of Incident *
Time
:
Grade of the person who was being bullied?
 Where did the incident take place? *
 Possible witnesses:
 What type of bullying? *
Required
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