Bullying Reporting Form 23 24
Please use this form to report bullying. Your name or email address will NOT be collected unless you type it in. 

Please fill out the form as best as you can and with as much information as you can. 

**The responses from this form will go to the School Counselor, Assistant Principal and Principal. This form will not be monitored 24/7. 

**Emergencies for Students at GMS**
1) Go to the front office
2) After school, call 911 or the Greencastle Police Department at 765-653-3155.

If it is after school hours and you are having thoughts of self-harm or suicide you can also call the Suicide Prevention Hotline at 1-800-273-8255.
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When did the event occur?
Were there any witnesses?
Was there a threat made?
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If you answered YES to the previous question, describe the threat. 
What happened? Was it verbal (name calling/rumors), physical (hitting/touching/intimidation), both verbal and physical or unsure
How many times has it happened?
Where did it happen?
Please describe the incident Please put as much information as possible. You may include your name, but do not need to. 
Did you retaliate (say something back, hit, etc.)? If yes, explain. 
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