Request edit access
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.
Email address *
Your name: (optional)
Your answer
Person reporting the bullying behavior: *
Required
In what building did you witness your concern? *
Required
Name of the student(s) targeted by bullying or harassment: *
Your answer
Person(s) alleged to have committed the bullying or harassment: *
Your answer
Date of bullying incident(s): *
Your answer
Summarize the incident(s) or occurrence(s) of bullying or harassment as accurately as possible. *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Santa Fe R-X. Report Abuse