River Bluff Confidential Bullying / Harassment Reporting Form
The Stoughton Area School District strives to provide a safe, secure and respectful learning environment for all students in school buildings and on school grounds, on school buses and at school-sponsored activities. This confidential form is submitted to building Administration and School Counselors, with a goal to be processed within 24-48 hours. If this is an emergency, please contact the River Bluff Office immediately at 877-5500.
Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Who is submitting this form? *
Type of Incident *
Name of student, if known, involved in this concern? *
Your answer
When did the event occur? *
Where did the event happen? *
Check all that apply
Describe what happened: *
Your answer
Have you talked to anyone about this? *
If yes, who?
Did anyone else see what happened? *
If yes, please write their name(s):
Your answer
A copy of your responses will be emailed to the address you provided.
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