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Bullying Report Form
If you have been the target of bullying or have witnessed bullying in the Santa Fe R-X School District, please complete this form. Reports of bullying will be followed-up by the school counselor and principal, if necessary.
Your name: (optional)
Person reporting the bullying behavior:
In what building did you witness your concern?
Santa Fe Elementary
Santa Fe Junior High
Santa Fe High School
Name of the student(s) targeted by bullying or harassment:
Person(s) alleged to have committed the bullying or harassment:
Date of bullying incident(s):
Summarize the incident(s) or occurrence(s) of bullying or harassment as accurately as possible.
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This form was created inside of Santa Fe R-X.