Bullying and Incident Report

Any student who believes that he or she has been subjected to bullying, sexual harassment, racial harassment, or similar offenses should report the situation to school administration, the school resource officer, or certified staff. This can be done in person or through this online form. This form may be completed anonymously. All reports will be investigated. If completing this online form, please provide specific information and details to assist administration in the investigative process.

Please be aware that intentional false reports could result in disciplinary and/or legal consequences.

You may also call the 24-hour Bullying Prevention Hotline at 1-800-332-6378 (or 1-800-Children). This hotline provides students and parents with a place to anonymously report bullying, and also provides access to resources in communities across Kansas to help address their concerns. This hotline is funded through the Safe and Supportive Schools grant and is made possible through the Kansas Department of Education.

First Name:


Last Name:




Description of
bullying incident: