If You See Something, Say Something
Please use this form to report any bullying, dangerous or other potential suspicious or harmful behavior. You may also call 704-658-2677 or email
Mooresville High School
NF Woods Campus
Mooresville Middle School
East Mooresville Intermediate
Park View Elementary
Rocky River Elementary
Describe what happened/what is happening:
When did it happen?
If you can provide a specific date or time, please do so.
Where did it happen?
In the school building
In the school cafeteria
In the school parking lot
At a school event (please specify in other)
On the school bus
Athletic event / practice
Who was committing the behavior / bullying (if you don’t know the person's name(s) describe him/her)?
Who was the target of the behavior / bullying (if you don’t know his/her name, describe him/her)?
Did anyone else witness the behavior / bullying (if yes, please list)?
Were you or others physically hurt (please explain)?
Was there damage to anyone’s personal property?
Have you or the target missed any school or made any changes to your daily routine as a result of the incident(s)?
Have you told anyone about the behavior / bullying?
Check all that apply
Other family member
Other school staff
Your Name (optional & confidential):
Your grade and age
Grade of those involved in the incident / bullying
I don't know
How can we contact you (optional & confidential)?
Phone, Email, Other
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