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Report Bullying
Use this form to report bullying that you may see on LISA Academy North campus.
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* Indicates required question
Where did the incident occur?
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Your answer
When did it happen?
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Your answer
Who was bullying, harassing, intimidating or causing harm?
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Your answer
Who was the person being harmed, bullied, harassed or intimidated?
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Your answer
Were there any witnesses? List their names here.
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Your answer
Describe what happened. Give as much information as you can.
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Your answer
You are a ......
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Student
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Your answer
If you are not a student at this campus, and would like someone to talk to you, please list your phone number here. (Optional)
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