MHS Bullying Report Form
Please report any bullying incidents you feel may be going on at school. All reports will be investigated by the administration.
Your name *
Your answer
Location of Bullying *
Where did you experience or witness bullying take place?
Type of Bullying *
What did you experience or witness?
Required
Your Role in the Bullying *
Please name target(s). *
Who was being bullied?
Your answer
Please name the bully/bullies in this incident. *
Your answer
Please list any bystanders that witnessed the incident. *
Your answer
Please describe what happened using as much detail as you can. *
Your answer
Did you report this incident to an adult? *
If your reported the incident to an adult, please name that person.
Your answer
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