Bullying Incident Report Form
The Benjamin Franklin Middle School and The Gereau Center are compelled to keeping our students safe.Before you report: What is bullying? “any aggressive and unwanted behavior that is intended to harm, intimidate, or humiliate the victim; involves a real or perceived power imbalance between the aggressor or aggressors and victim; and is repeated over time or causes severe emotional trauma."
Email address *
Please tell us who You are: *
Describe what happened: *
Your answer
When did this happen? *
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What time of day?
Time
:
Has this happened before? *
What grade is the (victim) in? Parents of any student involved in an allegation of bullying will be notified by their school's Principal. *
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