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Elder Grove School
District #8
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Elder Grove School
District #8
Outlaw Pride, Generations of Success, Striving for Excellence!
Home
About EG
Contact Us
COVID Planning
School Board
Mission Statement
Safety & Security
Staff Directory
Strategic Plan
History of Elder Grove
EG Solar System
Vision Teams
Elementary
Assessment Team Elementary
MTSS Team - Elementary
Middle School
Assessment Team Middle School
MTSS Team - Middle School
Pre-Referral Team
Relations Team
School Wide Management Team
Technology Team
Parents
Out-of-District Registration
Free & Reduced Lunch Application
Forms & Links
Infinite Campus Parent Portal
Library
Math Resources
Nutrition Services
School Calendar 2022-2023
Staff Directory
PTO
Students
Clever Login
Lunch Menu
Elder Grove Shortcuts
Library
Teacher Webpages
Student Handbook
Student Council
Bully Reporting
Activities
Helpful Information
Activities Director
Sponsors & Boosters Program
Gym & Building Usage
Sports
Fall Sports
Winter Sports
Spring Sports
Departments
ADA Compliance
Administration
Adult Education
Bond Information
Counseling
Elder Grove Library
Health Enhancement
Music
Read-A-Thon
Events Calendar
Employment
Available Positions
Applications
Quick Links
Home
Superintendent's Message
Board of Education
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Activities
Photo Galleries
Forms & Links
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Harassment, Intimidation, Hazing, and Bullying Report
By submitting this form you acknowledge that the information entered is complete, true, and accurate.
Please note that whoever engages in any conduct with intent to convey false or misleading information under circumstances where such information may reasonably be relied upon and where such information indicates that an activity has taken, is taking, or will take place would constitute a violation of law and the submitter of such information may be prosecuted.
Your Information (optional)
First Name:
Last Name:
E-Mail:
Phone #:
Address:
City:
State:
Zipcode:
Incident Information
When did this incident happen?
Location of Incident:
Select a School
Please select school
Activities
Precise Location
Unknown
Bus
Hallway
Classroom
Locker room
Gym
Cafeteria
Extracurricular activity
Bathroom
At lockers
Playground
Other
Your Role:
Select Your Role
Please tell us who you are
Student
Teacher
Staff Member
Administrator
Parent
Volunteer
Bystander
Other
Type of harassment, intimidation, hazing, bullying or harm:
Types of Harassment, Intimidation, Hazing, and Bullying
Physical involves hurting a person’s body or possessions. Physical includes:
Hitting/kicking/pinching
Spitting
Tripping/pushing
Taking or breaking someone’s things
Making mean or rude hand gestures
Verbal is saying or writing mean things. Verbal includes:
Teasing
Name-calling
Inappropriate sexual comments
Taunting
Threatening to cause harm
Social, sometimes referred to as relational, involves hurting someone’s reputation or relationships. Social includes:
Leaving someone out on purpose
Telling other children not to be friends with someone
Spreading rumors about someone
Embarrassing someone in public
Cyberbullying is bullying that takes place using electronic technology. Examples of cyberbullying include:
Mean text messages or emails
Rumors sent by email or posted on social networking sites
Embarrassing pictures, videos, websites, or fake profiles
More information at
stopbullying.gov
Cause of harassment, intimidation, hazing, bullying or harm:
Unknown
Age
Color
Race
Creed
National Origin
Ancestry
Marital Status
Sex
Religion
Gender Identity
Physical Attributes
Physical/Mental Abilities
Political Belief
Political Party Preference
Socioeconomic Status
Sexual Orientation
Family Status
Other
Method of harassment, intimidation, hazing, bullying or harm:
Unknown
Electronic Communication
Written Communication
Verbal
Physical
Social/Relational
Other
What is the victims age/or grade?:
Who was the person being harassed, intimidated, hazed, bullied or harmed?:
What is the offenders age and/or grade?:
Who was harassing, intimidating, hazing, bullying or causing harm?:
Select Offender Type
Unknown
Student from the same district
Student from a different district
Certified staff
Volunteer
Other
Description:
By submitting this form you acknowledge that the information entered is complete, true, and accurate. Please note that whoever engages in any conduct with intent to convey false or misleading information under circumstances where such information may reasonably be relied upon and where such information indicates that an activity has taken, is taking, or will take place would constitute a violation of law and the submitter of such information may be prosecuted.
By checking this box you agree to the above disclaimer.