BSMS Bullying Report

 
Page 1 of 1
 
 BSMS Bullying Incident Report Form 
Bullying is unwanted behavior that involves a real or perceived power imbalance. Whether it happens in the hallways or online, such behavior can create hostile learning environments that interfere with students’ academic performance, and emotional and physical well-being. Harassment is motivated by real or perceived characteristics, such as race/ethnicity, gender, religion, sexual orientation, physical or mental ability, or socioeconomic status. Bullying behavior is threatening, intimidating and occurs repeatedly over time with the intent to cause harm. Please answer the following questions honestly and specifically. Once a report has been submitted, an investigation of the incident will begin promptly. The matter will be handled as confidentially as possible.

 
1.
*
  Select Date
mm/dd/yyyy
   
2.
*
 
   
3.
*
 
   
4.
*
 
   
5.
*
 
   
6.
 
   
7.
*
 
   
8.
 
   
9.
 
   
 
 
 
 Done  Save  Cancel