Bullying or Harassment Form
This form is to be used to report incidents of Bullying or Harassment in the capital school district. You may pick up a paper copy of this form from your school's office.

- or -
Please fill in all fields below, to the best of your ability, to submit this information electronically. This form will go directly to the Supervisor of Student Services and the principal of South Dover Elementary School. Providing your name is optional, however, as the person filing the complaint your participation in the investigation may be helpful in ensuring the protection or safety of the individual who is possibly being bullied or harassed.

 
 
 
 
 
 
 
 
 
  *
 
  *
 
 
 
 
 
  Possible Motivation for Bullying/Harassment: 
     
     
     
     
     
     
     
     
 
 
 
  *
 
  *
 
 
 




  Send a copy of the completed form to this email address : 





* Indicates Required fields.
The Capital School District is an equal opportunity employer and does not discriminate on the basis of race, color, creed, religion, gender (including pregnancy, childbirth and related medical conditions), national origin, citizenship or ancestry, age, disability, marital status, veteran status, genetic information, sexual orientation, or gender identity, against victims of domestic violence, sexual offenses, or stalking, or upon any other categories protected by federal, state, or local law.  Inquiries regarding nondiscrimination policies should be directed to the Title IX, District 504 and ADA Coordinators:  Capital School District, 198 Commerce Way, Dover DE 19904.  Phone (302) 672-1500