Report Bullying - Arcadia Elementary School
Select a Language
On selecting an option from the following Language drop-down list, the language of the content will change accordingly.
English
Español
Please correct the following errors.
Have you watched the video above?
Yes
No
After viewing the video: Do you think your issue is
Peer conflict
Bullying
Please share any additional details.
Who was being bullied, harassed, intimidated, or harmed?
Who was bullying, harassing, intimidating, or causing harm?
Where did this incident occur?
Athletic Field
Bathroom
Bus
Bus Stop
Cafeteria
Hallway
In Class with a Teacher
In Class without a Teacher
Library
Locker Room
Parking Lot
Playground
Other
When did this incident occur?
Before School
During School
After School
Was this cyberbullying?
YES
NO
On which platform(s) did this occur?
Facebook
Twitter
Instagram
Snapchat
Other (Please specify)
Please provide the screen name, website, or other information about the cyberbullying.
Please indicate the date of this incident.
Have you reported this incident to an adult?
YES
NO
Who did you report this to?
Principal
Assistant Principal
School Counselor
Other
Teacher (Please include their name)
Describe what happened. Please give as much information as you can, including any witnesses.
Would you like us to follow-up with you?
YES
NO
How many times has this situation occurred?
1 to 2
3 to 5
More than 5
What would you like to submit?
Question
Comment
Suggestion
Concern
Compliment
Tell us who you are
(Select one or more)
Tuscaloosa City Schools Student
Tuscaloosa City Schools Parent/Guardian
Tuscaloosa City Schools Employee
Community Member
How can we contact you?
Name
Email
Phone e.g (123) 456-7890
Enter the characters as shown in the image
Enter the characters as shown in the image
Required
K12
Insight
Terms of Use
and
Privacy Policy