Please use this form to report any bullying that you are seeing at home or at school.
Name of Student reporting the bullying
You are not required to leave your name.
Name of Student who was doing the bullying
Name of Student who was being bullied
Where did this bullying happen?
Please explain what happened. If you are using this to report someone who is thinking of hurting themselves or you are thinking of hurting yourself, please contact a trusted adult or call 911.
Never submit passwords through Google Forms.
This form was created inside of DeKalb CUSD428.
Terms of Service