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."
Please tell us who You are:
Describe what happened:
When did this happen?
What time of day?
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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