Bullying Report Form (Formulario de informe del Bullying)
If you or someone you know is experiencing bullying, please report it on this form. South Ranchito does not collect names unless you want to be known. This form is anonymous.(Si usted o alguien que conoce están siendo víctima de bullying, por favor repórtalo en esta forma. South Ranchito no colectará nombres, a menos que quiere que los nombres se sepan. Esta forma es anónima.)
Today's date
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Are you a child, teenager, or adult? ( Eres un niño, adolescente o adulto?)
(Optional) What is your name? (Opcional, ¿Cómo te llamas?)
Your answer
(Optional) Who is being bullied? (Opcional, ¿Quién está recibiendo el "bullying"?)
Your answer
(Optional) Who is doing the bullying? (Opcional ¿Quién es el bully?)
Your answer
Please describe in detail the bullying incident that occurred. (Por favor describe en detalle el incidente de bullying?) *
Your answer
When did the incident occur? ( ¿Cuándo ocurrió el incidente?)
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What time did the incident occur? ( ¿A qué hora paso el incidente?)
Time
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Where did the incident take place? ( ¿Dónde paso el incidente?)
Your answer
Has this problem occurred before with the same people? (¿ Ha occurido este probelma anteriormente con las mismas personas?)
Submit
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