Bullying: Parent Reporting Form for K-8
Here at Socrates we strive to create a safe learning environment for all. We want to encourage families to report suspected bullying behavior. If you are aware of any behavior that would make our school feel unsafe for your scholar or another, we want to know!

Please use this reporting form to make us aware of any incidents so we can investigate. This form will go to Ms. Baker, Elementary Assistant Principal, Mr. Newberry, Middle School Assistant Principal, and Mrs. Savage, School Counselor. Please allow at least 2 School Days for us to complete our investigation and we will follow-up with the reporter.
Email address *
Date *
Name *
Who is the "target" or "victim"? *
What is your relationship to the "target" or victim"? *
Who is the suspected offender? *
Where did this happen? (Location: such as. Hallway, classroom, carpool, during transition) *
How did you learn of this incident? *
How many times has a similar incident taken place? *
What happened? *
Explain the incident you are reporting in detail: *
How would you classify this incident? *
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Why did you classify it that way? *
Have you already discussed this with the students teacher? *
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