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Navigation
District Information
Superintendent
Board of Trustees
School Board of Trustees Picture
Board Meeting Dates
Board Agendas & Minutes
Board Book Premier
Board Policy Online
Board President Education Report 2021
Disclosure Forms
Landowner's Bill of Rights
May 2023 Elections Notice and Application Packet
Accountability & Performance
TEA School Report Cards
Texas Academic Performance Report (TAPR)
Federal Report Cards
HB 5 School Requirements
Accreditation Status
Accountability Ratings
Financial Transparency
Personnel
Students
Graduation Plans
College Credit Programs
PSAT/NMSQT Testing Dates
Health Information & Services
Homeless Students Programs & Services
Transition and Employment Guide for Special Education Students
Bullying
District/Campus Improvement Plans
CIPs/DIP/State Comp Plan
Strategic Plan
2013-2023 Strategic Plan
Directory & Maps
District Directory
Department Directories
Maps & Directions
State Required Postings
Request for Proposals
Mathis ISD Title IX
Schools
Campus Information
Mathis High School
Mathis Middle School
Mathis Intermediate School
Mathis Elementary School
Mathis Early Scholars Academy
Departments & Programs
ACE 21st Century
Administration Office
Athletics
Business Office
Distribution Center
Food Service and Nutrition
Human Resources
Special Education
Health Services
MISD Wellness Program
Tax Office
Technology
Transportation
College and Career / GearUp
Career and Technical Education (CTE)
Family Services
Parent Resources
Local Wellness & Nutrition Policy
Campus News Reports
For Staff
For Students
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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
Mathis Early Scholars Academy
Mathis Elementary School
Mathis High School
Mathis Intermediate School
Mathis Middle School
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:
* Valid Captcha Required
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.