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Bullying Report
Are you being bullied at school? Or have you seen someone being bullied? This is a completely confidential way to tell us about it so we can help provide you with a safe place to be.
Who is being bullied?
It's okay if you don't say who, but the more information you give us, the better able we are to help stop bullying at West.
Name? *
Your answer
Student Grade? *
Who is involved?
Giving us a specific name helps us address reports more quickly.
Who? *
Your answer
Where is this happening?
Be specific. In a classroom, the lunch room, in gym, in a certain hallway, on a certain bus #, social media, etc.
Where: *
Your answer
What is happening?
Be specific with what events have occurred. Provide any information about events that have led up to this situation.
What? *
Your answer
Anything else we should know . . . ?
Your answer
I have reported this to . . .
It is important to tell an adult immediately so that the situation can be dealt with in a timely manner.
Reported to: *
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