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Hereford ISD - Bullying Reporting Form
Hereford ISD has a zero-tolerance policy for bullying. You may report bullying here and be anonymous.
This from may be used by any student or adult to report 'mistreatment by others' at Hereford ISD Schools. This may include alleged bullying, harassment, discrimination, injury or cyber related incidents.
Today's Date *
MM
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DD
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YYYY
Contact Info - NOT required but preferred
Name & Home Phone / Cell Phone / Email / Homeroom
Your answer
Incident Date *
MM
/
DD
/
YYYY
Which campus did the incident happen at? *
Name of the adult(s) you've already contacted (if any):
Your answer
Reporter's Information *
Self / Parent / Friend / Teacher / Bystander / Etc. of the victim.
Your answer
Name(s) of accused: *
Who is bullying you?
Your answer
Where did the incident happen? *
Select locations(s) - if Other please explain.
Required
Please check the box that best describes what the accused did. *
Please choose all that apply and if "Other" is selected please explain.
Required
Describe what happened. Use all exact language and as much detail as possible. Please include any web address or screen names that would help us in an investigation. *
If I were watching it on a video, what exactly would I see?
Your answer
I agree that all of the information on this form is accurate to the best of my knowledge. *
By clicking one of the options below is like having your signature.
Please add your first name, last name, a telephone number, or email address if you would like to be contacted by School Administrator.
Your answer
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