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Bullying/Harassment/Intimidation/Hazing Reporting Form

Bullying/Harassment/Intimidation/Hazing Reporting Form
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"Bullying" means any harassment, intimidation, hazing, or threatening, insulting, or demeaning gesture or physical contact, including any intentional written, verbal, or electronic communication (“cyberbullying”) or threat directed against a student that is persistent, severe, or repeated, and that substantially interferes with a student’s educational benefits, opportunities, or performance, that takes place on or immediately adjacent to school grounds, at any school-sponsored activity, on school-provided transportation, at any official school bus stop, or anywhere conduct may reasonably be considered to be a threat or an attempted intimidation of a student or staff member or an interference with school purposes or an educational function, and that has the effect of:

  • Physically harming a student or damaging a student’s property;
  • Knowingly placing a student in reasonable fear of physical harm to the student or damage to the student’s property;
  • Creating a hostile educational environment, or;
  • Substantially and materially disrupts the orderly operation of a school.


Please see District Policy 3226 for specific information on Laurel Public Schools Bullying Policy


Specific School policies can be found in the specific School's Student Handbook


Full name of reporter
required

This will not be shared without your consent.

I am a:
required
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Student
Staff Member
Parent/Guardian
Other
Date of the Incident
required
Approximate time of the incident
required
Describe the incident
required
Name, Description, Grade of aggressor
required
Where did the incident occur?
Electronically
On the way to/from school
School bus
School building/property
School sponsored activity or event off of school property
Other
Has this happened before?
required
Yes
No
Please describe previous incidents

Where did it happen? When? Who was involved? Was this incident reported in the past? Please be as specific as possible.

School of attendance
required
No results found
Laurel High School
Laurel Middle School
Laurel Intermediate School
Laurel Elementary School
I would like to be contacted about the incident
required
Yes
No
Best Email address to contact
required
Best phone number to contact
required
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