CHS Anonymous Bullying Form
This form is anonymous and confidential and should only be used when you are feeling a real concern for the physical, social, and emotional well-being of yourself or a fellow student. Upon submission of this form a request will be sent anonymously. If you feel this is an emergency, we encourage you to report this immediately to a trusted adult.
Please type below the name of the student about whom you are concerned.
Your answer
Where did the incident you are reporting happen?
Your answer
Please describe the problem or incident you witnessed/heard about which you are concerned.
Your answer
What is the approximate date and time this incident occurred?
Your answer
Your answer
If you would like to leave your name, please do so below.
This is optional and not required to submit the form.
Your answer
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