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Our District
DCAP - District Curriculum Accommodation
DESE Report Cards
District Calendar
Mission, Vision & Core Values
Strategic Plan 2019-2025
Administration
Superintendent
Student Services/Special Education
Public Records Access Officer
Technology Department
Curriculum & Instruction
Human Resources/Finance Department
Facilities/Operations Department
Families / Students
Approved Technology List
Bullying Prevention and Intervention Information
Family Engagement Expectations and Procedures
Free/Reduced Meals Information
MCAS Parent/Guardian Information
School Health Information
Student Insurance Information
William James INTERFACE Referral - Hull
Working Permits for Teens
Faculty / Staff
Collective Bargaining Agreements
District Calendars
Teaching, Learning and Professional Development
State Ethics Commission Online Training Program
Staff Directory
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Collective Bargaining Agreements
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Bullying Prevention and Intervention Incident Reporting Form
Bullying Prevention and Intervention Incident Reporting Form
Name of person filing the report.
*
Note: Reports may be made anonymously, but no disciplinary action will be taken against an alleged aggressor solely on the basis of an anonymous report.
Answer required for "Name of person filing the report."
Date of filing report
Answer required for "Date of filing report"
Relationship to victim
*
Answer required for "Relationship to victim"
Please Select
Self
Parent/Guardian
Staff Member
Classmate
Other
Who was bullied? (Name and Grade)
Answer required for "Who was bullied? (Name and Grade)"
Who did the bullying? (Name and Grade)
Answer required for "Who did the bullying? (Name and Grade)"
When did the bullying happen?
Answer required for "When did the bullying happen?"
Where did the bullying happen?
Answer required for "Where did the bullying happen?"
Type of Bullying
Answer required for "Type of Bullying"
Verbal
Non-verbal
Physical
Cyber-bullying
Other:
Briefly describe the incident
*
Answer required for "Briefly describe the incident"
Witness 1 (list person who saw or who might have information about the incident.)
Answer required for "Witness 1 (list person who saw or who might have information about the incident.)"
Which word best describes the witness named above
Answer required for "Which word best describes the witness named above"
Student
Staff Member
Other:
Witness 2 (list person who saw or who might have information about the incident.)
Answer required for "Witness 2 (list person who saw or who might have information about the incident.)"
Which word best describes the witness named above
Answer required for "Which word best describes the witness named above"
Student
Staff Member
Other:
Witness 3 (list person who saw or who might have information about the incident.)
Answer required for "Witness 3 (list person who saw or who might have information about the incident.)"
Which word best describes the witness named above
Answer required for "Which word best describes the witness named above"
Student
Staff Member
Other:
Describe the details of the incident including names of people involved, what occurred, and what each person did and said, including specific words used.
Answer required for "Describe the details of the incident including names of people involved, what occurred, and what each person did and said, including specific words used."
Please include your email and/or contact information if you would like to be contacted regarding this incident.
Answer required for "Please include your email and/or contact information if you would like to be contacted regarding this incident."
