Stop a Bully

Stop a Bully

BULLYING FORM

All online submissions using this form are completely anonymous and confidential. Filling out this form can sometimes be helpful; however, filing a report with an administrator or counselor in person provides more credibility to your report and allows for follow-up questions.  Please consider contacting an administrator or counselor.

Indiana Code 20-33-8 (Bullying)
    “Bullying” means overt, unwanted, repeated acts or gestures, including verbal or written communications or images transmitted in any manner (including digitally or electronically), physical acts committed, aggression, or any other behaviors, that are committed by a student or group of students against another student with the intent to harass, ridicule, humiliate, intimidate, or harm the targeted student and create for the targeted student an objectively hostile school environment that:

(1) places the targeted student in reasonable fear of harm to the targeted student's person or property;

(2) has a substantially detrimental effect on the targeted student's physical or mental health;

(3) has the effect of substantially interfering with the targeted student's academic performance;  or

(4) has the effect of substantially interfering with the targeted student's ability to participate in or benefit from the services, activities, and privileges provided by the school.

 

INCIDENT DESCRIPTION 

TARGET'S NAME 

BULLY'S NAME 

LOCATION OF INCIDENT(S) 

DATE(S) OF INCIDENT(S) 

False reporting of bullying will not be tolerated. Delaware Community Schools takes bullying incidents seriously and wants all students to be safe as they pursue their education.  False reporting makes it more difficult to resolve actual incidents.



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