Anonymous Bullying or Threats Report
If you have information regarding bullying or harassment and would like to report this information anonymously, please fill out the form to the best of your knowledge and submit.
Alleged Bully's Name ( First and Last)
Time of Incident
Frequency of Incidents
Witness #2 Name (First and last)
Date of Incident
Target/Victim's Name (First and Last)
Witness #1 Name (First and Last)
Where did the incident happen (choose all that apply)?
On School Property
On a school bus
At a school-sponsored activity or event off school property
On the way to/from school
On an electronically transmitted device (i.e. internet, email, cellphone, or wireless device)
Which statement(s) best describes what happened (choose all that apply)?
Destruction of Property
Sexual, religions, or racial harassment
Spreading False Rumors
Public or Private Humiliation
Describe what happened.
If witnesses are involved, describe their role in this incident.
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