Bully Buster
This is a place for you to tell me if there are bullies in our school.  What you share must be the truth.  If you are not in Mrs. Volak's classroom in PA, I may not be able to help you, but as you answer the questions, realize that these are some strategies to try.
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If you wish to tell me who you are, please tell me your name:
You do NOT need to leave me your name if you do not want to.....
Where does the bullying happen? *
Required
Have you tried to talk to the bully yourself? *
Required
After you spoke to the bully 3 times, what happened? *
Required
On a scale from 1 to 5, how much is this bothering you? *
a little
a lot
Who is the bully?
Do you know what grade/class he/she is in?
Write what happened.  You need to use names so I can understand the situation. *
Have you shared with your parents about this incident? *
Required
Have you shared this bully information on this site before? *
Required
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This form was created inside of Pennridge School District.