Say Something-Report Bullying 7:180 AP1-E5
Please note that these reports are not read immediately after submission but are generally read within 24-hours on regular school days and within 48-hours on the weekend. If you or someone you know is in crisis or in danger, please do not leave a report. Instead:
-Call 911
-Call the 24-hour, 7 days a week, Suicide Hotline at (800) 784-2433
This will ensure that someone will be able to respond immediately to the emergency situation.

The Illinois School Code defines Bullying as follows:
"Bullying includes cyber-bullying and means any severe or pervasive physical or verbal act or conduct, including communications made in writing or electronically, directed toward a student or students that has or can be reasonably predicted to have the effect of one or more of the following:
1. Placing the student or students in reasonable fear of harm to the student’s or students’ person or property;
2. Causing a substantially detrimental effect on the student’s or students’ physical or mental health;
3. Substantially interfering with the student’s or students’ academic performance; or
4. Substantially interfering with the student’s or students’ ability to participate in or benefit from the services, activities, or privileges provided by a school.

If you believe you, or someone you know is being bullied at school, please either complete this form, or the preferred method, contact the Dean's or Guidance Office.
Your name and/or phone number (optional, but helpful) Please understand, you may remain anonymous, but in doing so, it may be difficult to pursue this report and/or to inform you of the status of this situation.
I am *
Person(s) being reported as targets of bullying: *
Person(s) being reported as the bully/bullies: *
Person(s) who witnessed the bullying/bystanders: *
Please indicate if the witness or witnesses were staff, student or other: *
Please describe, in detail, the bullying incident(s). Include the name(s) of individual(s) involved and what each person said or did. *
Date(s)/Time(s) incident(s) occurred: *
Location of the incident(s): *
Why do you think this behavior is happening? *
Has this incident been reported to anyone before? *
If yes, to whom and when was it reported?
What additional information, if any, would you like us to know?
The above information is accurate to the best of my knowledge (place initials on the line below if completing electronically). *
Confirmation Email (Enter your email address here if you would like to receive a confirmation upon submitting the form.
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