Greendale Schools Bullying, Harassment, and Illegal Activity Report
Greendale Schools strives to provide a safe, secure, and respectful learning environment for all students in our school buildings, on our school grounds and on school buses and vehicles, and at all school-sponsored activities so that students can benefit to the fullest from the educational opportunities offered. Greendale Schools will not tolerate any form of bullying and harassment (written, verbal, physical, cyber, exclusion), or illegal activity (weapons, drugs, alcohol, theft, vandalism).

This form will be submitted anonymously, unless you choose to include your name below.

Please note: There may be consequences for intentionally filing a false report.

Thank you for doing your part in keeping our schools safe for all students.

Choose school this report is for:
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I am a concerned:
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Name of person(s) that are doing the bullying/harassing/illegal activity:
If name is not known, write "unknown"
Your answer
Name of person(s) that may have witnessed this:
Your answer
Type of Incident
If this is a bullying/harassing situation, please write the name(s) of the student(s) being bullied/harassed below:
Your answer
If you are reporting an illegal activity situation, please write the name(s) of the student(s) engaged in illegal activity below:
Your answer
Details of Incident
Date of Incident:
Your answer
Time of incident or period of school day:
Your answer
Location of incident:
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Statement of Concern:
Please list your concerns and description below. Fully explain what was done and/or what was said. It is important that you provide as much detail as possible in this section.
Your answer
This situation is:
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I will include my name (optional):
Your answer
Please click on this link to upload an image (if applicable):
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