Request edit access
SEAS Bullying/Harassment Report Form
St. Elizabeth Ann Seton Catholic School maintains a firm policy prohibiting all forms of bullying. Everyone is a made in the image and likeness of God, therefore everyone deserves to be treated with dignity and respect. If you feel that you have been bullied, have been told by your child that he/she was bullied or if you witnessed someone being bullied and wish to report it, please fill out the following form. For more information on SEAS bullying policy, please see our Student/Parent Handbook.
Your name (optional, but very helpful)
Your answer
I am a
Is this an ongoing bevhavior
Who did the bullying behavior?
Your answer
What was the bullying behavior?
Your answer
Who was the target/victim?
Your answer
What did the target/victim do?
Your answer
When and where did this take place? If online, please state the site(s) or platform(s) used.
Your answer
Has anyone else been told about this incident?
Your answer
What was done to try and correct this problem?
Your answer
Any other additional information you'd like to share?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of St. Elizabeth Ann Seton School. Report Abuse - Terms of Service - Additional Terms