Anonymous Student Bullying Report Form
Bullying is defined as unwanted, aggressive behavior that includes verbal, cyber, physical, or social behavior that is REPEATED over a period of time. Bullying is NOT peer conflict (arguments or disagreements), fighting, horseplay, hazing, or similar behavior that has happened only once or twice. If the behavior you want to report fits the definition of bullying, please answer the questions below and submit the form. This is an anonymous form and the sender's identity will not be known.
What is the name of the person(s) doing the bullying?
Your answer
What is the name of the person(s) being bullied?
Your answer
What type of bullying is taking place? (Check all that apply)
How long has the bullying been going on?
Your answer
Where does the bullying mostly take place? (School, online/social media, bus, off school grounds)
Your answer
When or what time does the bullying take place?
Your answer
Have you reported this activity to a school staff member before? If so, who did you report it to and when?
Your answer
Please describe the activity or behavior below. Please give as many details as possible.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Milan Community Schools. Report Abuse - Terms of Service