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Lincoln Public Schools - Bullying Allegations Form
Use this form to report issues relating to alleged bullying, cyber-bullying, and harassment.
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* Indicates required question
Your Name
(Optional)
Your answer
I am a:
*
Student
Guardian/Family Member
Other:
Please describe what happened:
*
Your answer
Alleged Aggressor:
*
Your answer
School
*
Choose
High School
Middle School
Saylesville Elementary
Northern Elementary
Central Elementary
Lonsdale Elementary
Alleged Victim:
*
Your answer
Witnesses/Bystanders:
(Optional)
Your answer
Location
*
Choose
Bus
Bus Stop
Locker Room
Classroom
Lunch Room
Hallway
Date and Time Incident Occurred:
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Have you told anyone about this incident, and if so, then who?
(Optional)
Your answer
Have there been other previous issues with this particular student? Can you briefly describe it?:
Your answer
Please describe the current situation with as much detail that will help the person looking into the situation.:
*
Your answer
What sort of help would you like with this issue?:
*
Your answer
Additional Information:
Your answer
Submit
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