Request edit access
Report a Bully
In line with our anti-bullying policy, the school is constantly looking to promote positive behavior and to bring an end to cases of bullying. This form may be used to report a bullying incident. Note that we may need to contact you. While this form can be filled out anonymously it would be very helpful to have the names of all the parties involved.
Building where Bullying is taking place:
Name of person being bullied:
Your answer
Name of person bullying:
Your answer
When is it happening?
Your answer
How often is this happening?
Your answer
Are you afraid to come to school?
Your answer
Did anyone witness the incident besides you?
Your answer
Description of what happened:
Your answer
Name (or you can leave blank for anonymous report):
Your answer
Contact (phone/email):
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Aurora R-8 School District. Report Abuse - Terms of Service - Additional Terms