Request edit access
Bullying Report
This form allows any student to report suspected bullying while protecting the identity of the victim or reportee. Please Be sure to answer all questions as clearly as possible.
Who is the suspected bully?
Your answer
When and where did the incident occur?
Your answer
Was there an imbalance of power, or did one student seem to have more control over another student?
Was the victim physically harmed?
Was the property of the victim damaged?
Is the victim in fear of harm to their person or property?
Was an intimidating, threatening, or abusive environment created?
Do you believe that the education of the victim, or other students' education, was affected by the incident?
Do you believe the victim is still in danger?
Submit
Never submit passwords through Google Forms.
This form was created inside of Kennard ISD. Report Abuse - Terms of Service