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BULLPUPS SPEAK UP!!!
Please help in ensuring our school is a positive and safe learning environment where we all feel welcome, feel safe, and feel cared for by each other.  You name must be signed at the bottom as we will not accept anonymous reports.
Email *
Bullpups Speak Up!!!
Please help in ensuring our school is a positive and safe learning environment where we all feel welcome, feel safe, and feel cared for by each other.
Date of Incident *
MM
/
DD
/
YYYY
Time of Incident *
Time
:
Location of Incident *
If "other" location was selected, where was it? *
Please describe the incident, names of individuals involved, and where it took place. *
According to the chart below what type of behavior would you consider this to be? *
Captionless Image
Please share names of bystanders/upstanders/witnesses. *
Did the incident involve personal injury? *
Was this incident reported to an adult/staff member?  If so, who? *
If it was not reported to an adult, why not? *
Was this incident reported to law enforcement? *
Do you have evidence of the incident?  Picture, video, audio? *
Why do you think this incident occurred?
Your typed signature and Date *
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