Morrison Junior High School Incident Report
Bullying and/or Intimidation is defined as: Repeated intentional behavior by an individual with power over the victim or victims. Such behavior may include, physical, verbal, written or electronic communication or conduct of a belittling or browbeating nature.
Your Name
(This is a required question and will be kept confidential)
Your answer
Contact info (home phone/cell/email/homeroom
Your answer
Name of adult(s) you've already contacted
(if any)
Your answer
Name of Accused
(Again this is confidential)
Your answer
Please check the box that best describes what the accused did. Please choose all that apply.
Description of current incident.
If I were watching it on a video, what exactly would I see?
Your answer
Where did the incident happen?
If you marked other on the previous question please explain below.
Your answer
Any previous incidents
(Again, please be as specific as possible)
Your answer
Please list any witness if there were any.
Your answer
How did you respond to the incident?
Your answer
Submit
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