Bullying Report for Crawford County HS

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Please use this anonymous report for the 2021-2022 school year.

Part of Crawford County High School's mission is to provide a safe and supportive learning environment that promotes respect for all stakeholders.
Bullying behavior works against our mission and will not be tolerated. Please read the definition of bullying listed below and seek assistance when there is a concern.
“Bullying” (per IC 20-33-8-.2) means overt, unwanted, repeated acts or gestures, including verbal or written communications or images transmitted in any manner (including digitally or electronically), physical acts committed, aggression, or any other behaviors, that are committed by a student or group of students against another student with the intent to harass, ridicule, humiliate, intimidate, or harm the other targeted student and create for the targeted student an objectively hostile school environment.

Please enter today's date. *

YYYY

List the victim's first & last name. You may list more than one victim. If you do not know the victim's name, please list as much information available (age, appearance, clothing, etc.) to help us identify the student. If you do not have details, state that you do not know. *

If you know the victim's grade level select it below. *

K-5

6-8

Unknown

List the first & last name of the aggressor. If you do not know the aggressor's name, please list as much information available (age, appearance, clothing, etc.) to help us identify the student. *

Explain the situation that occured in detail. *

When did this incident(s) occur? Please list the date(s), place(s), and time(s). *

List first & last names of any other possible bystanders (students, staff members, others). *

Where did it occur? *

School

Online during school

Online after school

Bus

Other:

Individual submitting this report: *

Bully

Victim

Friend

Staff member

Bystander

Parent/Guardian

Other family member or family friend

Administration

Other:

Select all that apply: Which type of behavior(s) did you observe? *

PHYSICAL---Involves hurting a person’s body or possessions. It includes hitting/kicking/punching, spitting, tripping or pushing, taking or breaking someone’s things, and making mean or rude hand gestures.

VERBAL---Involves saying mean things. It can include teasing, name-calling, inappropriate sexual comments, taunting, or threatening to cause harm.

SOCIAL/RELATIONAL---Involves hurting someone’s reputation or relationships. Social bullying involves telling other children not to be friends with someone, leaving someone out on purpose, spreading rumors about someone, or embarrassing someone in public.

ELECTRONIC or WRITTEN COMMUNICATION---involves cyber-bullying, collective or group note writing, any bullying undertaken through the use of electronic devices (computer, cell phones).

Required

OPTIONAL: List your contact information (telephone number or email).

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This form was created inside of Crawford County Community Schools. Report Abuse

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