Bully Reporting Form

The Mequon-Thiensville School District believes in providing a safe and healthy environment that fosters respect and culturally responsive practices for all.

We have created this online form to make it as easy as possible for student to confidentially report incidents of bullying and harassment.


What is bullying?

Bullying includes agressive or hostile behavior that is intentional and involves an imbalance of power between the bully and the bullied.  It is typically repeated over time.

Bullying takes many forms, including, but not limited to, physical or verbal assaults, nonverbal or emotional threats or intimidation, social exclusion and isolation, extortion, and the use of a computer or telecommunications to send embarrassing, slanderous, threatening, or intimidating messages.  Bullying is a form of victimization and is not necessarily a result of or part of an ongoing conflict.  Bullying can also be characterized by teasing, put-downs, name-calling, cruel rumors, false accusations, and hazing. 

The Mequon-Thiensville School District takes allegations of bullying seriously and will respond promptly to complaints and allegations of bully. (Board Policy #5516)


What is harassment?

Harassment may take many forms, including verbal acts and name-calling; graphic and written statements, which may include use of cell phones or the Internet; or other conduct that may be physically threatening, harmful, or humiliating.  Harassment does not have to include intent to harm, be directed at a specific target, or involve repeated incidents.  Harassment creates a hostile environment when the conduct is suffciently severe, pervasive, or persistent so as to interfere with or limit a student's ability to participate in or benefit from the services, activities, or opportunities offered by a school.  When such harassment is based on race, color, national origin, sex, or disability, it violates the Civil Rights laws.

The Mequon-Thiensville School District takes allegations of harassment seriously and will respond promptly to complaints and allegations of harassment.


How can you help yourself/your child:  

http://www.stopbullying.gov/                                                             

http://www.ncpc.org/topics/bullying/what-parents-can-do


 

Report a Bullying Incident:

Report a Bullying Incident
1.

Individual Reporting (optional):

2.
*

School you attend:

3.
*

Individuals involved?

4.
*

Please describe what happened:

5.
*

Where (school and location, i.e. hall, lunchroom, playground, etc.) did the incident occur?

6.

Were there any witnesses?  Who?

7.

How often has the bullying occurred?

8.

How have you responded to the bullying?

9.

Have you spoken with anyone about the incident? (Optional: who?)

10.
*

Who do you want to be notified of this incident?

11.
*

What would you like the response to be?

(1 required)
I just want someone to be aware.
I want an adult to talk to the individual(s) bullying me.
I want an adult to help solve the problem.
I want an adult to try to stop the bullying without identifying myself or the bully.
Other (explain)
12.
*

If other, explain:

I am not a Robot
Type in the text that you see above:

  

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  • Mequon-Thiensville School District
  • 5000 West Mequon Road Mequon, WI 53092
  • Phone: 262-238-8500 Fax: 262-238-8520