Bullying Incident Reporting Form
The Columbus School District strives to provide a safe, secure, and respectful learning environment for all students in school building, on school grounds, in school buses, and at school-sponsored activities. Bullying has a harmful social, physical, psychological, and academic impact on victims and bystanders as well as the person who is bullying. Please use this form to report a bullying incident. The Columbus School District shall maintain the confidentiality of the report and any related pupil records to the extent required by law.
Address (number, city, state, zip)
Date of Incident
Status of Person Filing Complaint
Statement of Complaint (Include type of harassment charged and the specific incident(s) which occurred, who was involved, and if anyone witnessed the events)
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