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Austin Public Schools

401 3rd Avenue NW
Austin, MN 55912
507-460-1900
Austin Public Schools

Austin Public Schools

401 3rd Ave 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

Today's Daterequired
Must contain a date in M/D/YYYY format
Schoolrequired

PERSON REPORTING INCIDENT

Namerequired
First Name
Last Name
Email Addressrequired
I am a:required
Other:required

INCIDENT INFORMATION

Date Incident Occuredrequired
Must contain a date in M/D/YYYY format
Name of Student Victim(s)required
Name of Offender(s)
If known
Name of Witness(es)
If known
Type of BullyingrequiredCheck all that apply
Check all that apply
Other Bullying Typerequired
Where Did the Bullying Happen?requiredCheck all that apply
Check all that apply
Where in School?required
Where Out of School?required
Please describe in detail exactly what happened.required0 / 1500