Report a Bullying IncidentReport a Bullying IncidentThe Columbia School District will make every reasonable effort to ensure that no student or employee is subjected to bullying or harassing behavior by other staff members or students. The school district will act to investigate all complaints of bullying and/or harassing behavior and will discipline or take appropriate action against any student, teacher, administrator or other school district employee, contractor or volunteer who is found to have violated this policy (Section J, Code JDDA Bullying, Columbia School District School Board Policies). Use the following form to report bullying, which includes incidents of cyberbullying. Fill it out online and it will be submitted to the appropriate administration. Reports are held in the strictest of confidence.Whether you are a witness or target in this case, we want to thank you for helping us maintain a positive and safe school environment for all of our students. (All names provided are kept confidential.) Reporting bullying or harassing behavior is the first step toward making our schools a safe place for everyone.* RequiredName (optional):Your answerToday's Date: *DateEmail Address:Your answerPhone Number:Your answerSchool/Location Incident Occurred: *ChooseColumbia High SchoolJefferson Middle SchoolColumbia Elementary SchoolColumbia Primary SchoolBusDescription of Incident (please be as detailed as possible): *Your answerList any witnesses to this event. Please use first and last names. *Your answerWas this incident reported to any staff/employees of Columbia School District? Please include names and dates that incident was reported. *Your answerLocation of Incident (cafeteria, bus, library, classroom, etc.): *Your answerDate of Incident: *DateTime of Incident: *Time:AMPMWould you like to be contacted regarding this incident? If yes, contact information must be provided above. *YesNoRequiredSubmitNever submit passwords through Google Forms.This form was created inside of Columbia School District. Report Abuse Forms