Central-Denison Bullying, Harassment, School Safety Reporting

If you have information regarding bullying, harassment, or other non-emergency school safety concerns and would like to report this information, please fill out this Lake Geneva School Safety or Harassment Report Form to the best of your knowledge and submit it.

Definition of Bullying: Bullying is unwanted, aggressive behavior among school-age children that involves a real or perceived power imbalance. The behavior is repeated, or has the potential to be repeated, over time. Both kids who are bullied and who bully others may have serious, lasting problems.

In order to be considered bullying, the behavior must be aggressive and include:

- An Imbalance of Power: Kids who bully use their power—such as physical strength, access to embarrassing information, or popularity—to control or harm others. Power imbalances can change over time and in different situations, even if they involve the same people.

- Repetition: Bullying behaviors happen more than once or have the potential to happen more than once.

Bullying rises to the level of harassment when one (1) or more persons systematically and chronically inflict physical hurt or psychological distress on one (1) or more students or employees and that bullying is based upon one (1) or more Protected Classes, that is, characteristics that are protected by Federal civil rights laws. It is defined as any unwanted and repeated written, verbal, or physical behavior, including any threatening, insulting, or dehumanizing gesture, by an adult or student, that is severe or pervasive enough to create an intimidating, hostile, or offensive educational or work environment; cause discomfort or humiliation, or unreasonably interfere with the individual's school or work performance or participation. “Harassment” also includes “hate speech”—the use of language, behavior, or images/symbols that express prejudice against a particular group or groups on the basis of any protected characteristic(s).

Lake Geneva Schools Monitoring: These reports are monitored by Lake Geneva Schools staff during school hours. If you are submitting a report after school hours or you believe someone is a threat to themselves, any imminent danger, or any other extreme concerns, please call 911 or your local police department at one of the numbers below:

  • Lake Geneva Police Department: 262-248-4455 
  • Bloomfield Police Department: 262-279-3454
  • Walworth County Sheriff: 262-741-4400

** Call 911 or your local police department if there is imminent danger or other extreme concerns.**

Crisis Support:
988 has been designated as the new three-digit dialing code that will route callers to the National Suicide & Crisis Lifeline. No matter where you live in the U.S., you can easily access 24/7 emotional support. Call or text 988 or visit 988lifeline.org/chat to chat with a caring counselor. Mental Health is important. This line is dedicated for anyone in need of mental health assistance of any kind. 

If you or someone you know needs financial assistance (heating assistance, gas cards, etc.), housing, health, or mental health support, 211 connects you with thousands of nonprofit and government services in your area. If you want personal assistance, call the three-digit number 211, search the online database, or call 877-947-2211. 
A friendly voice to talk with you 24/7/365. Visit the 211 Wisconsin websites to find additional resources in our area: https://211wisconsin.communityos.org

Sign in to Google to save your progress. Learn more
Email *
What is your name? *
Who are you? *
What school in Lake Geneva does the victim attend? *
What is the victim's name(s) *
Where did the incident occur? *
Required
When did it happen? *
MM
/
DD
/
YYYY
What time did it happen? *
How many times has this situation happened? *
What is the First and Last name of the person(s) who was (were) bullying, harassing or causing a safety concern? *
What grade is the person in? *
Describe what happened with as much detail as possible. *
Who witnessed the situation? *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Lake Geneva Schools. Report Abuse