USD 482 Dighton Public Schools

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Bullying and Harassment Report Form

Support, Report, Defend

We would like to stop all bullying and harassment that takes place on our campus. Now you can report an incident from the safety of any computer or cell phone. All reports go to our principals and our assistant principal.

You may also complete this form if there is threatening behavior that endangers you, your family, or friends.

ALSO: Please let us know if you have concerns about individuals making poor choices that may be hurting our school. For example: cheating, theft, damaging property, etc.

Bullying and Harassment Report Form

Who is causing the conflict?

Who is the victim?

What is the conflict?

Date and time of Conflict/Incident

What is Your First and Last Name

Where is the conflict taking place?

Reaquired field: Classroom

Reaquired field: Hallway

Reaquired field: Lunch room

Reaquired field: Restroom

Reaquired field: School bus

Reaquired field: Parking Lot

Reaquired field: On-line(At School)

Reaquired field: Phone/Text(At School)

Reaquired field: Other(not listed)

Email a copy to

optional

Required Fields