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Student Safety
Student Safety
Report Bullying or Harassment Form
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Name of student being bullied
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Name Of Alleged Bully
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required
Relationship to Student Being Bullied
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required
Campus
*
required
Elementary
High School
Location Of Incident
Reporting Date
Must contain a date in MM/DD/YYYY format
More Detail
If comfortable, please provide us with contact information:
Name
First Name
Last Name
Email Address
Phone Number
Submit
Tip Off Form
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Required
Campus
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required
Elementary
High School
Suspicious Behavior or Criminal Activities
Offender First Name
Offender Last Name
Alias
Any other known names or nicknames
What offense was committed/ is planned?
Date of offense or planned offense
Must contain a date in MM/DD/YYYY format
Location of the offense committed/planned?
Victim(s) Information
Describe how the offense was/will be committed
Suspicious Package or Item
Location of the suspicious item or package
Suicide Alert
Please provide any information regarding Self-harm, Suicidal behavior, Suicide attempt and considering, or planning for self-injurious behavior which may result in death. Please be as descriptive as possible.
More Information
If comfortable, please provide us with contact information:
Name
First Name
Last Name
Email Address
Phone Number
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