Elementary Bullying Report Form
Anahuac ISD seeks to empower students to take personal responsibility for eliminating bullying, including cyberbullying, within our schools and community. It is important for students to report bullying and cyberbullying when they observe or experience it as soon as possible, so school officials may take appropriate action. Parents, staff members, and community members who learn of bullying or cyberbullying incidents are also asked to report it as soon as possible, in support of a community-wide stance against this type of behavior.

Please fill out this form if you have an incident to report that occurred on the elementary school campus or with an elementary school child. If you need assistance, please contact the campus principals or counselors at (409) 267-3600. Your response will be sent via email to the elementary school administrators. Please give 1 business day for response.

Eliminating bullying behavior is everyone's responsibility, and your involvement is appreciated.
I am a *
Type of incident: *
Who is/was involved?
Your answer
What happened? *
Your answer
What day did it happen? *
What time did it happen? *
Where did the incident happen? *
Why did this happen? What could have caused it? *
Your answer
List witnesses to what happened.
Your answer
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