St. Regis Mohawk School Online Bullying Report
Salmon River Central School District is committed to providing a safe, supportive learning environment for all students. Bullying incidents can be reported directly to a trusted staff member, and/or DASA coordinator at your school. This online form may also be used by Salmon River students to report being bullied or by someone witnessing a student being bullied.

Once submitted, the investigation process will begin within five (5) working days. Keep in mind, this process can only be as thorough as the information provided.

*Any student who is found to have submitted a false report will be subject to disciplinary action.
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Email *
Where did the incident occur? *
Required
Name of person reporting the incident (optional):
Phone number of person reporting the incident (optional):
E-mail of person reporting the incident (optional):
Select which best applies to you. *
Please list names of alleged offenders: *
Check all that apply. *
Required
How often has this occurred? *
Do you believe this incident was motivated by racism, homophobia, transphobia, disability, or a form of sexual harassment?
Clear selection
Please briefly describe the incident
Verification
By completing this form, you are verifying that your statements are true and accurate to the best of your knowledge.

If you have trouble completing this form and would like to speak with someone, contact a trusted school staff member or the Assistant Superintendent for Curriculum and Instruction at (518) 358-6669.
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