Please Enter the Name of the Student You Believe is a Victim of Bullying: *
Please Enter the Name of the Student You Believe is a Victim of Bullying:
Who is making this report? (Not Required If You Wish to Remain Anonymous)
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 provide a phone number where you can be reached (Not Required If You Wish to Remain Anonymous)
Part II
Please Check All That Apply *
Bullying is a behavior that is a written, electronic, verbal, or physical expression that occurs on school property, at a school sponsored/related 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 check any of the below items that apply to this reported situation:
Please describe the bullying incident(s) that you are reporting today: