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Van Wert City Schools
toggle menu
Search site using Google
Quick Links
District
Home
About Us
Board of Education
Alumni
Bussing
2022-2023 Shuttle Bus Schedule
Transportation
Community Links
Brumback Library
Family & Children First
Niswonger Performing Arts Center
Van Wert County Foundation
Van Wert County Health Department
Van Wert County Historical Society
Van Wert Works
Vantage Career Center
Curriculum
ODE Standards
ODE Standards
Drama / Theatre
Family & Consumer Science
Gifted
Health Education
Language Arts
Math
Music
Physical Education
Preschool
Science
Social Studies
Technology
Visual Art
World Languages
Project Based Learning
Literacy Collaborative
Employment Opportunities
Food Service
Logos
Brand Guidelines
Logos
News
Newsletter
Read "The Cougar Connection"
Public Notices
Proposed Class Action Settlement Doe v. ODE
VW County Business Advisory Council Joint Statement
Quality Profile
School Safety
School Safety
Report an Incident / Bullying
Strategic Plan
Superintendent
Schools
Van Wert Early Childhood Center
Van Wert Elementary School
Van Wert Middle School
Van Wert High School
School at the Goedde
Parents
Alerts Sign-Up
BYOD
ECHO Log-in
FinalForms
FinalForms Log In (current students)
Parent Playbook
Forms & Registration
Payment for Lunches & Fees
Progressbook Log In
Reopening VWCS 2020-2021
Coronavirus (COVID-19)
Coronavirus (COVID-19)
COVID-19 Dashboard
Learning Recovery & Extended Learning Plan
Remote Learning Plan
Specific Guidelines
Superintendent Letter
Student Grades Sign-Up
Submit a Photo
Students
Echo Log In
Library / Media Center
High School
Middle School
Elementary School
PAWS Sign In
Student Services
Websites / Resources
Epic
Freckle
Google Classroom
Khan Academy
Moby Max
STAR Test
Typing Club
Xtra Math
Athletics
Athletics
Coach Contacts
Eggerss Stadium
Eggerss Stadium Renovations FAQs
Eggerss Stadium Maintenance History
EGGERSS STADIUM-NOTICE TO BIDDERS
FinalForms
FinalForms Log In (current students)
Parent Playbook
Livestream Home Events
Team Schedules
Ticketing
2022-2023 Athletic Achievements
WBL | School Records & News
Staff
CMS Log In
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Intranet Log In (Tech Page)
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Harassment, Intimidation, Hazing, and Bullying Report
By submitting this form you acknowledge that the information entered is complete, true, and accurate.
Please note that whoever engages in any conduct with intent to convey false or misleading information under circumstances where such information may reasonably be relied upon and where such information indicates that an activity has taken, is taking, or will take place would constitute a violation of law and the submitter of such information may be prosecuted.
Your Information (optional)
First Name:
Last Name:
E-Mail:
Phone #:
Address:
City:
State:
Zipcode:
Incident Information
When did this incident happen?
Location of Incident:
Select a School
Please select school
Van Wert Athletics
Van Wert Early Childhood Center
Van Wert Elementary School
Van Wert High School
Van Wert Middle School
Van Wert School at the Goedde
Precise Location
Unknown
Bus
Hallway
Classroom
Locker room
Gym
Cafeteria
Extracurricular activity
Bathroom
At lockers
Playground
Other
Your Role:
Select Your Role
Please tell us who you are
Student
Teacher
Staff Member
Administrator
Parent
Volunteer
Bystander
Other
Type of harassment, intimidation, hazing, bullying or harm:
Types of Harassment, Intimidation, Hazing, and Bullying
Physical involves hurting a person’s body or possessions. Physical includes:
Hitting/kicking/pinching
Spitting
Tripping/pushing
Taking or breaking someone’s things
Making mean or rude hand gestures
Verbal is saying or writing mean things. Verbal includes:
Teasing
Name-calling
Inappropriate sexual comments
Taunting
Threatening to cause harm
Social, sometimes referred to as relational, involves hurting someone’s reputation or relationships. Social includes:
Leaving someone out on purpose
Telling other children not to be friends with someone
Spreading rumors about someone
Embarrassing someone in public
Cyberbullying is bullying that takes place using electronic technology. Examples of cyberbullying include:
Mean text messages or emails
Rumors sent by email or posted on social networking sites
Embarrassing pictures, videos, websites, or fake profiles
More information at
stopbullying.gov
Cause of harassment, intimidation, hazing, bullying or harm:
Unknown
Age
Color
Race
Creed
National Origin
Ancestry
Marital Status
Sex
Religion
Gender Identity
Physical Attributes
Physical/Mental Abilities
Political Belief
Political Party Preference
Socioeconomic Status
Sexual Orientation
Family Status
Other
Method of harassment, intimidation, hazing, bullying or harm:
Unknown
Electronic Communication
Written Communication
Verbal
Physical
Social/Relational
Other
What is the victims age/or grade?:
Who was the person being harassed, intimidated, hazed, bullied or harmed?:
What is the offenders age and/or grade?:
Who was harassing, intimidating, hazing, bullying or causing harm?:
Select Offender Type
Unknown
Student from the same district
Student from a different district
Certified staff
Volunteer
Other
Description:
By submitting this form you acknowledge that the information entered is complete, true, and accurate. Please note that whoever engages in any conduct with intent to convey false or misleading information under circumstances where such information may reasonably be relied upon and where such information indicates that an activity has taken, is taking, or will take place would constitute a violation of law and the submitter of such information may be prosecuted.
By checking this box you agree to the above disclaimer.