Centura Incident Reporting Form
The Centura Public School community recognizes the negative impact that bullying and harassment have on student health, welfare, safety, and the school’s learning environment and prohibits such behavior.

Bullying is defined as any ongoing pattern of physical, verbal, or electronic abuse on school grounds, in a vehicle owned, leased, or contracted by a school being used for a school purpose by a school employee or his or her designee, or at school sponsored activities or school-sponsored athletic events.

Harassment prohibited by the school district includes, but is not limited to, harassment on the basis of race, sex, creed, color, national origin, religion, marital status or disability.

Please find additional information about the Centura Public School policie related to both Bullying and Harassment by following either of these links:
Bullying Policy
Harassment Policy

To report bullying or harassment, please complete and submit the following information.

I would like to report an incident that I consider bullying. *
Required
Location of Incident *
Your answer
Date of Incident *
Your answer
Time of Incident *
Your answer
List the name(s) of other person(s) who may have seen or heard this happen.
Your answer
How many times has something like this happened to you? *
Your answer
Who was involved in this incident? You may list more than one if necessary. *
Your answer
Describe the Incident *
Your answer
Your Name
Optional: If you choose not to provide your name, there can be no expectation and/or assurance of accurate follow-up.
Your answer
I would like to remain anonymous. *
By checking the anonymous box, please be assured that I will follow-up with you directly but will not use your name when following up with other persons involved.
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