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Ogilvie School Incident Reporting Form
You may use this form to report any conflicts or concerns that you would like us to investigate. This form is confidential and will only be viewed by Ogilvie School Administration. The more details provided will enhance our ability to investigate promptly.
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* Indicates required question
Email Address.
Choose
Option 1
Name of parent, guardian, or student reporting the issue.
Your answer
Who is the victim? (Full name & grade)
*
Your answer
Who was the conflict with? (Full name & grade)
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Your answer
How often has this happened?
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Your answer
What behavior(s) are you concerned about?
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Your answer
Do you consider this verbal, physical, or cyber-bullying?
*
Your answer
Please rate (1 to 5, with 5 being severe) how serious you believe this conflict to be.
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1
2
3
4
5
Where (ex. playground, bus #, bathroom, etc.) and when did the conflict take place?
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Your answer
Please leave your information if you would like to be contacted or if we have further questions about the incident.
Your answer
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