Incident Reporting Form
Use this form to report Bullying, Discrimination, Harassment, Hazing, Racism. 
Email *
BULLYING 
For more information about bullying, please visit the BART website and refer to the student handbook. 

Bullying is REPEATED use by one or more students of a written, verbal or electronic expression or a physical act or gesture or any combination thereof, directed at the victim that causes or places the victim in reasonable fear of harm to themself or of damage to their property, creates a hostile environment at school for the victim, infringes on the rights of the victim at school, or disrupts the education process. 

Cyber-bullying is bullying through the use of technology or any electronic communication, which shall include but is not limited to electronic mail, internet communications, instant messaging, posting on social networking sites, or facsimile communications. 
DISCRIMINATION
Discrimination is the unfair or prejudicial treatment of people and groups based on characteristics like race, gender, age, or sexual orientation. It involves treating individuals or groups differently, often based on stereotypes or assumptions, without a legitimate reason. This can lead to disadvantages, deprivation, or exclusion, and can manifest in various forms, including employment, public accommodations, and harassment. 
HARASSMENT
For more information about harassment, please visit the BART website and refer to the student handbook. 

Harassment is defined as any conduct of a verbal or physical nature hat embarrasses, distresses, agitates, disturbs, causes fear, causes apprehension of harm, harms or troubles a student on the basis of race, color, religion, ancestry, national origin, sex, socioeconomic status, homelessness, academic status, gender identity or expression, physical appearance, pregnant or parenting status, sexual orientation, gender identity, mental, physical, developmental or sensory disability or by association with a person who has or is perceived to have one or more of these characteristics. 
HAZING
Hazing is any action or situation created to initiate, admit, or affiliate someone into a group that recklessly or intentionally endangers the individual's emotional or physical health, humiliates them, destroys property, or is otherwise illegal. It's a dangerous practice that can cause physical harm, emotional distress, and even death. 
RACISM
For more information about racism, please visit the BART website and refer to the student handbook. 

Racism is the belief and dominance of one race over all others, manifested in practices, beliefs, social relations, phenomena, institutions, structures, and systems. The reproduction and maintenance of a racial hierarchy and social structure that yield superiority, power, resources and privilege for some, and discrimination, exploitation and oppression for others. 
Date of report *
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Incident Type *
Incident based upon... *
Name of person reporting the incident. (Leave blank if you wish to remain anonymous) 
 

Note: Reports may be made anonymously, but no disciplinary action will be taken against an alleged aggressor solely on the basis of an anonymous report.)

If you are the person who suffered from the incident, then select Target. If you are reporting the incident, then select Reporter.  *
You are a(n) *
Your contact information/telephone number: 
(leave blank if you wish to remain anonymous)
If the target is a student, please state which grade the student is in *
Name of the person(s) who committed the alleged aggression.  *
Name of the person(s) who were the target of the alleged aggression. *
Date of incident: *
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Time of incident: *
Time
:
Location of incident (be as specific as possible): *
List people who saw the incident – Bystanders
Who witnessed this incident? Identify their name or give as much detail as you can so we can work on identifying them. 
Bystander #1- (Name a witness to the incident) What is the role/position of the Bystander? (student, staff, other)
Bystander #2- (Name a witness to the incident) What is the role/position of the Bystander? (student, staff, other)
Bystander #3- (Name a witness to the incident) What is the role/position of the Bystander? (student, staff, other)
What happened? Describe the details of the incident (including names of people involved, what occurred, and what each person did and said, including specific words used).  *
A copy of your responses will be emailed to .
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