Anonymous Bullying Report
Bullying is a behavior that is a written, electronic, verbal, or physical expression that occurs on school property, at a school sponsored event, or in a vehicle operated by the district that has or will have the effect of physically harming a student, damaging a student's property, or places the student in reasonable fear of harm or the conduct is sufficiently severe, persistent and pervasive so that it creates an educational environment that is intimidating, threatening, or abusive.
Please enter the name of the student you believe is a victim of bullying (Last, First).
Who is making this report? (Not required if you wish to remain anonymous.)
Please provide a phone number where you can be reached (Not required if you wish to remain anonymous.)
Please check all that apply.
Physical harm or threatening physical harm
Obtaining money or another object of value from an unwilling person, or forcing an individual to act
Making ethnic, racial, religious, or other harrasing slurs
Verbal abuse or derogatory or offensive remarks addressed to others
Damaging or vandalizing property of other students
Conduct that constitutes sexual harassment or sexual abuse
Dating violence, meaning the intentional use of physical, sexual, verbal, or emotional abuse
Description of incident(s)
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