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Administration
Board of Trustees
Superintendent
Business Office
Personnel Office
Technology
Cybersecurity
Register Teacher Devices
Technology Certificate
Calendar
District Calendar
2022-2023 School Calendar
District Information
Handbooks
Athletic Code of Conduct
Student Code of Conduct
Technology and AUP Handbook
BRISD Staff Handbook
Gifted and Talented Handbook
Boys Ranch HS Student Handbook
Blakemore Middle School Student Handbook
Mimi Farley Elementary Student Handbook
Campus Improvement Plans
District Improvement Plan
BRHS CIP
Blakemore Middle School CIP
Mimi Farley CIP
Employment
Maps and Directions
Required Postings
Parent Resources
AC Dual Credit Agreement
BRISD Parent Involvement Policy
BRISD Transfer Policy & Agreement
BRISD Transfer Policy
BRISD Transfer Agreement
COVID-19 Information
Digital Citizenship
Meningitis Immunization Requirement
Parent Attendance Letter
Special Education Information
BMS Notification of Future Absences
Search
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Gradebook/Attendance
Remote Email Login
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Home
Campuses
Boys Ranch High School
Blakemore Middle School
Mimi Farley Elementary
Athletics
Athletics
Teacher Pages
High School Staff
Middle School Staff
Elementary Staff
Academics
BRISD Library
Counseling
Counselors
College and Career Readiness
Graduation Requirements
About Us
Cal Farley Organization
Contact Us
Additional Resources
UIL
Quick Links
Home
Staff Directory
BRISD Library
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Employment
BRISD Policy Online
Bully Reporting
Chromebook Help Ticket
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
Blakemore Middle School
Boys Ranch High School
Mimi Farley Elementary
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.