Reporting an Incident of Bullying
Please use this form to report any incidents of bullying, either on or outside of school premises.
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What is your name? (You can leave this section blank however it may limit the support you can receive)
Are you reporting an incident that affected yourself or something you witnessed? *
If you are reporting this for someone else, what is their name?
What is your relationship to this person? *
Where did this  take place? *
When did this take place? (If between lessons, press other and state between which lessons) *
What kind of incident was this? *
Who was involved - please state whether they saw the event or took part in it. *
Please explain what happened - Provide as much detail as possible. *
Is this the first time this has happened? *
Have you informed any other adults about this? If yes, who?
On a scale of 1-10, how worried are you about this? 1
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