Online Bullying Reporting Form - Lexington Christian Academy

IF YOU ARE IN IMMEDIATE DANGER, CALL 911.

Lexington Christian Academy is committed to providing a safe learning environment for all students. Bullying incidents can be reported directly to any staff member at either the Rose Campus or the Immanuel Baptist Church Campus. This online form may also be used by students to report being bullied or by someone witnessing a student being bullied.

Once submitted, the investigation process will begin within 24 hours of receipt. Keep in mind, this process can only be as thorough as the information provided. You can also call the LCA Office of Campus Safety to report bullying and not complete this form. Call 859-422-5692 to leave a recorded message about bullying. The information will then be forwarded to the applicable campus.

School Campus Where Incident Occurred *
Location Where Incident Occurred (Optional)
Prior to completing this form, have you contacted a principal, teacher or administrator at the campus you suspect bullying is occurring? Please choose "Yes" or "No" from the drop-down menu below.
Have you previously contacted someone about bullying *
If you answered "Yes" above, please enter name of who was contacted.
Name (optional):
Phone (optional)
Email (optional):
Select your relationship with person who experienced bullying: *
Name and Grade of Alleged Offenders if Known (optional):
Description of Event: *
Check All That Apply:
Name Calling Threat Cyberbullying Social Exclusion Intimidation Physical Violence Public Humiliation Unwanted Touching Hazing Other (add info below)
If
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By completing this form, you are verifying that your statements are true and accurate to the best of your knowledge.

If you have trouble completing this form and would like to speak with someone, contact the LCA Campus Safety Office at 859-422-5692.

If you believe there is an immediate threat to the school or someone at the call, please contact 911.

anti-bullying information

bullying policy

Please refer to the Bullying Policy in each Student/Parent Handbook listed below:

Preschool

TK-5th Grade

6th-12th Grade

Links for parents

Stop Bullying

Cyberbullying