LaurenHill Academy Bullying Incident Report
Bullying is unwanted, aggressive behaviour that involves a real or perceived power imbalance. The behaviour is repeated, or has the potential to be repeated, over time.

In order to be considered bullying, the behaviour must include the following.

1. Is the person or group deliberately being hurtful?
2. Do you feel an imbalance of power (physical strength, access to embarrassing information, etc)?
3. Is it repetitive, did it happen more than once?

Please review the definition of bullying before proceeding.

Who would you like to send this report to? Junior-Alex Kulczyk (A-L) Rea Limperopoulos (M-Z) Senior-Depina Michakis (A-L) David Servello(M-Z) *
Your name (OPTIONAL) *note if you provide your name we will contact you to discuss in person for more information*
Your answer
What type of bullying is being experienced? *
Where does the bullying take place? *
When does the bullying happen? *
How often does the bullying occur? *
Who is doing the bullying? *
Your answer
When did the individual begin bullying you? *
Your answer
Did you tell an adult? Yes or No. If yes, WHO? *
Your answer
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