Bullying / Harassment Incident Report Form

This form should be used to report a possible incident of bullying as defined in TSMS's policy prohibiting bullying and harassment. Bullying according to school policy involves systematic and chronic inflictions of physical hurt or psychological distress on one or more student or employee. Harassment according to school policy is threatening, insulting, or dehumanizing gestures, use of data, telecommunications facilities (wireless phones, text messages), or computer software or technology (email, social networking sites, blogs, web pages), or written, verbal, or physical conduct directed against a student or employee. This form can be filled out by any person concerned about bullying or harassment. (Please use the final 2 questions at the bottom of this form if you would like to list your needs, your concerns.)