Bullying Report Form
Ira ISD believes students deserve to learn in a bully-free environment.   Student safety is extremely important to Ira ISD.  We encourage you to share information with the school that may be troubling, so that we can investigate.   This includes information about weapons, threats, fights, drugs, self-harm, suicide, harassment, bullying, or other incidents that are made to you or posted online that are concerning. 
Sign in to Google to save your progress. Learn more
Person Filing the Report (Reports may be made anonymously.)
Contact Information (OPTIONAL)   Include Phone Number and or Email if you want us to contact you.
Select the response that best describes you: *
Today's Date *
MM
/
DD
/
YYYY
Describe your concern.  Give as many details as possible. *
Provide any evidence that supports your concerns.  (Photos, text messages, internet posting, etc.) *
Witnesses (List any people who saw or have information about the incident(s)). 
Where did this action take place? *
Date of Incident *
MM
/
DD
/
YYYY
Time of Incident *
Time
:
Who is the person(s) bullying, harassing, intimidating, or causing harm? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ira Independent School District. Report Abuse