Bully Reporting Form
Be sure to click "submit" after answering the following questions.
I have reported this event to my school: *
Required
Name of person allegedly being bullied: *
Your answer
Alleged location (select from drop-down list): *
Date:
Your answer
Name of alleged bully: *
Your answer
The alleged bully is a: *
Required
Your Name (optional):
Your answer
I am a: *
Required
Type of Event (Select all that appy): *
Required
Description of events (Please be specific--Location/Date/Time): *
Your answer
Did you witness the event? *
Required
List other students/staff who witnessed the event:
Your answer
Submit
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