EXHIBIT
STUDENT BULLYING / HARASSMENT /
INTIMIDATION
Lake Havasu Unified School District No. 1
2200 Havasupai Boulevard, Lake Havasu City, AZ 86403-3798
928.505-6900 FAX 928.505-6999 www.havasu.k12.az.us
Date: ____________________________________
To: ____________________________________
(Parents of student being bullied)
From: ____________________________________
(Principal)
RE: Follow up on Harassment, Intimidation or Bullying Report
Your report dated _______________________ has been reviewed by School Administration and the following action has been taken:
____no action (unfounded)
____warning
____parent notification/conference
____detention
____suspension
____police involvement
____refer to mediation, counseling, Student Assistance Program
____tier 2 intervention
____other: _________________________________________________
Thank you for your help and involvement in this matter. If you have any further questions please feel
free to contact us at ________________________.
Phone number