Anonymous Bullying Reporting Form
If you have information regarding bullying and would like to report this information anonymously, please fill out the following form to the best of your knowledge. (For the purpose of this form, bullying encompasses bullying, harassment, and discrimination.)
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Victim's Name (Last, First, Middle) *
Victim's Sex
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Victim's Grade
Victim's Age
Accused's Name (Last, First Middle)
Accused's Sex
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Accused's Grade
Accused's Age
Today's Date
Where did the incident occur?
When did the incident occur (date and time)?
Please describe, in as much detail as possible, what happened:
Do you know any of the witnesses involved? If so, please provide as much details as possible about these people:
List evidence, if any (for example letters, photos, links, etc.)
Acknowledgments *
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