Student Report

Bullying / Harassment Report

Knowingly submitting a false report will result in disciplinary action.

Directions: Bullying, intimidation, harassment, and/or hazing are not acceptable. Please complete this form to report alleged bullying, intimidation, harassment, and/or hazing and return it to the school administration office. Please contact the school for additional information or assistance at any time. Please be informed that any anonymous, unsigned form may make it impossible to prove any allegations.

This form is confidentially maintained in accordance with the Family Educational Rights and Privacy Act, 20 U.S.C 1232g. Bully, Harassment, & Intimidation as defined by Arizona State Statute (A.R.S.) §15-341(36), Hazing as defined by Arizona State Statute (A.R.S.) §15-2301