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Austin Public Schools

401 3rd Street NW
Austin, MN  55912
507-460-1900

District Office Hours:
Monday - Friday
7:30AM - 4:30PM

Bullying Report and Incident Form

Austin Public Schools believes a safe and civil environment is needed for students to learn and attain high academic standards and to promote healthy human relationships. Our goal is to prevent and respond to acts of bullying, intimidation, violence, reprisal, retaliation, and other similar disruptive and detrimental behavior. For more information, please refer to our Bullying Prohibition Policy.

If you or someone you know has experienced bullying at Austin Public Schools, please fill out the form below.

Required

Must contain a date in M/D/YYYY format

PERSON REPORTING INCIDENT

Namerequired
First Name
Last Name
I am a:required

INCIDENT INFORMATION

Must contain a date in M/D/YYYY format
If known
If known
Type of BullyingrequiredCheck all that apply
Check all that apply
Where Did the Bullying Happen?requiredCheck all that apply
Check all that apply
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