Report Bullying, Harassment and Discrimination

Report Bullying, Harassment and DiscriminationHave you or someone you know been bullied, harassed or discriminated against? Harassment, bullying or discrimination are serious and will not be tolerated, and we encourage you to tell a teacher, counselor, principal or regional office staff member. You can report any type of bullying at your school or school-sponsored event, on or off campus.  Harassment, bullying and discrimination can occur face to face, in writing or even through the internet, emailing or text messaging. Cyberbullying happens when people use personal websites to support deliberate, repeated and hostile behavior intended to harm another person. Guilford County Schools takes these types of behavior very seriously, and we’re dedicated to providing positive environments for our children. If you’ve experienced any of the types of behavior above, or even if you’ve witnessed them, we encourage you to report them, and you can do so using the form below. Please note that your name and phone number are optional.

Today's Date:

4/18/2014 7:15:21 PM

 

School:

Are you a:

Person Reporting Incident (Note: If this is an anonymous report, leave name and phone # blank.)

Name (Optional):

Telephone (Optional):

  Please enter as (xxx) xxx-xxxx or xxx-xxx-xxxx

1. Name of student victim:

Grade Level:

2. Do you know the name(s) of the alleged offender(s):

Grade Level:

School (if known):

Is he/she a student?

3. Were you an eyewitness to this behavior?

Name(s) of other witnesses (If known):

Grade Level:

School (if known):

Is he/she a student?

4. On what date(s) did the incident happen?

1st Date:

 

2nd Date:

 

3rd Date:

 

5. Check the box next to the statement(s) that best describes what happened (choose all that apply):



6. Where did the incident happen (choose all that apply)?


 

7. What did the alleged offender(s) say or do?

     

 

 

address