Report of Bullying

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Report of Bullying

School Policy - JICK
1. Bullying is defined as a single significant incident or a pattern of incidents involving a written, verbal, or electronic communication, or a physical act or gesture, or any combination thereof, directed at another pupil which:
(1) Physically harms a pupil or damages the pupil’s property;
(2) Causes emotional distress to a pupil;
(3) Interferes with a pupil’s educational opportunities;
(4) Creates a hostile educational environment; or
(5) Substantially disrupts the orderly operation of the school.

Bullying also includes actions motivated by an imbalance of power based on a pupil’s actual or perceived personal characteristics, behaviors, or beliefs, or motivated by the pupil’s association with another person and based on the other person’s characteristics, behaviors, or beliefs.

2. Cyberbullying is defined as any conduct defined as “bullying” in this policy that is undertaken through the use of electronic devices. For purposes of this policy, any references to the term bullying shall include cyberbullying.

The District reserves the right to address bullying and impose discipline for bullying that:
(1) Occurs on, or is delivered to, school property or a school-sponsored activity or event on or off school property; or
(2) Occurs off of school property or outside of a school-sponsored activity or event, if the conduct interferes with a pupil’s educational opportunities or substantially disrupts the orderly operations of the school or school-sponsored activity or event.

Student(s) who was harmed? *

Please include first and last names if known.

Date of Incident *

YYYY

Location of Incident *

Student(s) who did harm? *

Please include first and last names if known.

Are you a Parent/Guardian or a Student making this report?

Parent/Guardian

Student

Other:

Clear selection

List any known witnesses to the Incident *

Please include the names of anyone that may be able to provide information about this situation.

Please give a detailed description; (include what occurred, what was said, and any actions on behalf of the victim.) *

Your name (not required)

Although students, parents, volunteers and visitors may report anonymously, formal disciplinary action may not be based solely on an anonymous report. Independent verification of the anonymous report shall be necessary in order for any disciplinary action to be applied. In accordance with the Family Educational Rights and Privacy Act and other laws concerning student privacy, the District will not disclose educational records of students including the discipline and remedial action assigned to students involved in a bullying incident.

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