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North Judson-San Pierre Schools

07/20/2026

Elementary Bully Reporting Form

This form may be used by anyone who experiences or witnesses bullying of a North Judson-San Pierre Elementary School student. Fill the form out fully and hit the SUBMIT button to turn it into the elementary school principal.
Please select a date.
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Did you witness the bullying?
Please specify yes or no.
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Please choose one or more of the following.
Please enter the name of the person being bullied.
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Where did this take place?







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Type of Bullying<br />(Select all that apply)











Please select the type of bullying.
Please describe the event.
Please describe the event.
What has been done to help stop the bullying?




Please choose one or more of the following.
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The administrators will investigate the report and take appropriate actions to deal with the situation. Since much of what we do needs to remain confidential, you may not know of the steps we take to stop the bullying. If the bullying does not stop, we need to take additional steps. Please let us know if the bullying continues.
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Copyright © North Judson-San Pierre Schools

It is the policy of the North Judson-San Pierre School Corporation not to discriminate on the basis of race, color, national origin, sex, age, or disability in its educational programs or employment policies as required by the Indiana Civil Rights Act, Titles VI and VII of the Civil Rights Act of 1964, the Equal Pay Act of 1973, Title II, Title IX and Section 504 of the Rehabilitation Act of 1973. ” Questions and concerns should be directed to the Title IX, Title II, and Section 504 Coordinator as follows: Mr M. Kelly Shepherd, Superintendent of Schools c/o North Judson-San Pierre Schools 801 Campbell Dr., North Judson, IN 46366 Phone: (574) 896-2155.