2018-19 SES Bully Report
Directions: Bullying and Harassment are serious issue and will not be tolerated. To report an instance of bullying please complete this form as completely as possible. The report is anonymous unless you chose to include your name when asked. Every report of bullying and harassment will be investigated and SISD staff will be addressed.
I am *
Date of Incident *
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Time
Time
:
Location: *
Your answer
Did the incident include the use of technology (social media, texting, pictures/video) *
Students involved were from which campuses *
Required
Name(s) of alleged bully(ies) *
Your answer
Name of the student being targeted *
Your answer
Witnesses
Your answer
Explain the incident in as much detail as possible, including dates, times, location, people and the conduct. *
Your answer
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