Idalou ISD

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The categories of conduct below are prohibited at school, in vehicles owned or operated by the district, and at all school-related activities, but the list does not include the most severe offenses. In the subsequent sections on Out-of-School Suspension on page , DAEP Placement on page , Placement and/or Expulsion for Certain Offenses on page , and Expulsion on page , those offenses that require or permit specific consequences are listed. Any offense, however, may be severe enough to result in Removal from the Regular Educational Setting as detailed on page .

- Engage in bullying, cyberbullying, harassment, or making hit lists on the basis of sexual orientation, gender identity, and/or religion.

Please complete this form to the best of your knowledge so we can assist you.
This information will be kept confidential with your campus administrator and/or superintendent.

BULLYING, INTIMIDATION & HARASSMENT/SCHOOL SAFETY FORM

Date of Incident:

Date of Report:

See Something, Say Something! Description of Suspicious/Unusual Activty

Who were the person(s) engaged in bullying?

Grade of person(s) who engaged in bullying?

Who was being bullied?

Grade of person who was being bullied?

What type of bullying?

Physical

Emotional/Social

Damage to Property

Online

Other:

Other location details: (Please explain the specific location details such as which hallway, where on the Internet, what restroom, etc)

Describe what happened with as many details as possible.

Person reporting the incident:(OPTIONAL). Please use your full name.

May we contact you for more information on this incident?

Yes

Thank you for reporting this incident. We appreciate your concern. When you click "Submit Form" this will be sent to the campus administrator.

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Required Fields

Bullying, Intimidation, Harassment / School Safety Reporting Form