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Report Bullying
WDJH Behavior Expectations
Bullying Prevention and Response Protocol
Report Bullying
If you are experiencing bullying, or you are aware of a bullying situation,
please report it
. When you fill out this form you will be sending an email directly to the Assistant Principal, Mr. Krause. Thank you for helping to keep our school safe.
*
Indicates required field
Name
*
First
Last
Email
*
Verbal Bullying
*
Name Calling
Taunting/Ridiculing
Mocking
Teasing
Demeaning Comments
Select all that apply.
Emotional Bullying
*
Offensive grafatti
Excluding from group
Spreading rumors
Being force to do something against his/her will
Taking possessions
Physical/Electronic Bullying
*
Kicking
Hitting/Punching
Pushing
Pinching
Inappropriate touching
Offensive text/electronic messages
Sending inappropriate images
Posting rumors/lies
Assuming identity with intent to cause harm
Check all that apply.
Describe the details of the incident. Include names, dates, what occurred, and what each person did and said, including specific words or quotes. Be SPECIFIC.
*
Submit to Mr. Krause