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Madison Elementary School DIXON PUBLIC SCHOOLS #170 A Place to Grow www.dixonschools.org 618 Division Street Dixon, Illinois 61021 Phone: (815) 2847726 Fax: (815) 2840435 Joseph Sage Madison Elementary
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Move on to the section where you need to fill out details about the incident of bullying. Be precise and provide as much information as possible.
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Students who have experienced or witnessed bullying incidents and want to report them to the school authorities.
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Teachers, staff, or administrators who have knowledge of bullying incidents and need to document and report them to the appropriate individuals within the school system.
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This form is used for reporting incidents of bullying within Dixon Schools.
All faculty, staff, and students within Dixon Schools are required to file this form if they witness or experience bullying.
The form can be filled out online or printed and submitted in person at the school office. It requires details of the incident, including date, time, location, and individuals involved.
The purpose of this form is to document and address incidents of bullying to ensure a safe and respectful school environment.
Information such as the date, time, location, description of the incident, names of individuals involved, and any witnesses must be reported on the form.
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2014 Illinois DIXON Sagel E5 180-AP1 cyberbullying dixonschools purposeful publicized exclusion interactions asserting aggressors limitation alleging pervasive handwritten slurs depicting detrimental evaluating behaviors interacting disruptive Ancestry an

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