Kemp ISD Bullying, Cyberbullying, Harassment Reporting Form

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KEMP ISD maintains a firm policy prohibiting all forms of bullying. Bullying by any student, teacher, administrator, or other school personnel which creates an intimidating environment will not be tolerated under any circumstances. Please use this form to report issues relating to bullying, cyberbullying, or other forms of harassment.
The information is confidential and will be shared only for investigation and follow-up purposes.
When submitted, this form will automatically go to administrator personnel.

Person Reporting Bullying/Harassment

Today's Date *

YYYY

Date of Alleged Incident? *

YYYY

Names of Alleged Offenders? *

Description of the Incident(s) or Event(s)? *

Campus of incident? *

Would you like to be contacted? If so, please provide contact information. *

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