Nicolet High School District strives to provide a safe, secure, and respectful learning environment for all students in our school buildings, on our school grounds and on school buses and vehicles, and at all school-sponsored activities so that students can benefit to the fullest from the educational opportunities offered. Nicolet High School District will not tolerate any form of bullying and harassment (written, verbal, physical, cyber, exclusion), or illegal activity (weapons, drugs, alcohol, theft, vandalism).
This form will be submitted anonymously, unless you choose to include your name below.
Please note: There may be consequences for intentionally filing a false report.
Thank you for doing your part in keeping our schools safe for all students.
I am a concerned:
Name of person(s) that are doing the bullying/harassing/illegal activity:
If name is not known, write "unknown"
Name of person(s) that may have witnessed this:
Type of Incident
If this is a bullying/harassing situation, please write the name(s) of the student(s) being bullied/harassed below:
If you are reporting an illegal activity situation, please write the name(s) of the student(s) engaged in illegal activity below:
Details of Incident
Date of Incident:
Time of incident or period of school day:
Location of incident:
Statement of Concern:
Please list your concerns and description below. Fully explain what was done and/or what was said. It is important that you provide as much detail as possible in this section.
This situation is:
I will include my name (optional):