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Bullying / Harassment Notification
Please use this form to report information about alleged bullying of SHS students.
Person being bullied: *
Your answer
Date of incident: *
MM
/
DD
/
YYYY
Approximate time of incident: *
Time
:
Name of alleged bully (if known):
Your answer
Location of incident: *
Behavior observed that contained elements of bullying (mark all that apply): *
Required
I would like to be contacted regarding this report *
My contact information is:
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