Rogers High School Bullying Report
Your First Name
Submitting your name is optional, but helpful. Please understand without providing your contact information it may be difficult to investigate.
Your answer
Your Last Name
Your answer
Select your grade level
Check all that apply
Please identify the approximate date and time of the incident you are reporting
Read Before Continuing
Bullying is behavior that is unfair and one-sided (imbalance of power). It happens when someone keeps (repeated over time) hurting, frightening, threatening or leaving someone out on purpose (intended to harm).

By continuing you are agreeing that actions you are about to report meet the definition above.
Never submit passwords through Google Forms.
This form was created inside of Independent School District 728. Report Abuse - Terms of Service