Issue or Concern Reporting

South Texas Independent School District has developed an electronic form to be used to submit issues or concerns regarding bullying or safety. Please note that the electronic form should not be used to report urgent concerns - including those related to suicide or an immediate safety threat - after-hours (after 4 p.m. and before 8 a.m. on weekdays, and on weekends). If you have a concern regarding a potential suicidal situation or immediate safety threat outside of school hours, please call 911 or contact the National Suicide Prevention Lifeline at 1-800-273-TALK (8255). Additional information in regards to this organization is available at
Anonymous Issue or Concern Reporting

Policy on Bullying

Name of Victim  Victim's Campus  Grade  

Date  Location 

Name of Alleged Bully 

Grade of Alleged Bully 

What happened? 

Did anybody else witness what happened?

If Yes, who?  

How long has this been happening?  Has this been reported before? 


If Yes, who?

Parent Name 

Teacher/Counselor Name 

Principal/Asst. Principal Name 


Your Name (Optional) 

Is it okay if someone contacts you?  

If yes, please provide email or phone number 

Security Measure