Online Bullying Reporting Form

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Online Bullying Reporting Form

The Cincinnati Public School District is committed to providing a safe learning environment for all students. Bullying incidents can be reported directly to a trusted staff member at our school. This online form may also be used by CPS students to report being bullied or by any adult or student who witnessed bullying. For more information about this online form, please see our Frequently Asked Questions.

All reports of harassment and violence are important and thoroughly investigated. The results are recorded in the PowerSchool logs. Those results will be reviewed if another complaint is received involving any of the same students.

Once submitted, CPS uses its best efforts to initiate an investigation within one business day. Please keep in mind that this process can only be as thorough as the information provided. The information that you provide on this form will be sent to your child’s principal and to the Customer Care Center.

If you fear that you or a student is in immediate danger, please report this incident to an administrator or CPS school personnel as soon as possible.

If you do not want the form to go to the school's principal, please contact the Customer Care Center (513) 363-0551.

Bullying is when someone repeatedly and on purpose says or does mean or hurtful things to another person who has a hard time defending himself or herself (Olweus Bullying Prevention Program).

Person Reporting Incident:
First Name (optional)
Last Name (optional)
Phone (optional)
E-mail (optional)
Select which apply to you:

Where incident(s) occurred:

Target Student:
First Name (optional)
Last Name (optional)
Select which apply to you:

Me or my child

Friend

Student at my school

Location where incident(s) occurred (All That Apply):

Has this happened before?

I have already spoken with the following people regarding this bullying/harassment situation:

Name:

Bullying Incident:
Names of Alleged Offenders:

Please describe the bullying incident. Please include as many details as possible.

Check all that apply:

Physical violence and/or attacks

Threats, taunts and intimidation through words and/or gestures

Extortion, damage or stealing of money and or possessions

Exclusion from activities, peer groups

Spreading rumors

Cyberbullying, which includes the use of information and communication technologies and other Web-based online sites to: post slurs other students can see, sending abusive or threatening instant messages, posting embarrassing photographs of the student online, circulating gossip and rumors and excluding others from online groups by falsely reporting them for inappropriate language to Internet Service Providers.

Other

Suggested resolution:

By completing this form, you are verifying that your statements are true and accurate to the best of your knowledge.

If you have trouble completing this form and would like to speak with someone, please contact the Customer Care Center (513) 363-0551).

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