KENEDY INDEPENDENT SCHOOL DISTRICT STUDENT BULLYING REPORT FORM
STOP BULLYING
Instructions: Please complete, responding only to the questions that you feel
comfortable answering and are able to accurately answer. You may choose to include your name
at the bottom of the form or may submit it anonymously. Please note that the district’s ability to
investigate an anonymous complaint may be limited, and the District prohibits retaliation against
anyone who files a bullying report.