Jarrell

Independent School District

Jarrell Independent School District takes bullying very seriously. If you are being bullied or have witnessed bullying take place, please complete the following form to report the incident.

Please complete the form below. Mandatory fields marked *

INCIDENT INFORMATION

Where did the incident occur?: *	High SchoolMiddle SchoolIntermediate SchoolElementary School
Were there any witnesses?:*	Yes No
Please identify the witnesses: *
Please describe the incident: *
Tell us what the bully did to the vicitm: *
Date of incident: *

GENERAL INFORMATION

Your First Name: *
Your Last Name: *
Your Phone Number: *
Your Grade: *	Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th

Security Measure