Falcon Ridge Elementary Bullying/Incident Report Form
At New Prague Area Schools - safety, tolerance, and respect are important behaviors in our schools. We expect this of all students and staff. Please use this form to share your concern. This report will be reviewed by an administrative designee within 24 hours.
Date of Incident: *
Time of Incident (i.e., after 3rd period): *
Your answer
Location of Incident: *
If other, please explain: *
Your answer
Name of individual(s) involved: *
Your answer
Detailed report of the Incident: *
Your answer
This incident can be described the following way: *
This is a Bullying Reporting Site. However, this site is only monitored on school calendar days. This is not a crisis line. If you have immediate safety concerns involving a physical threat, suicidal thoughts or threats, or concerns about a weapon or anyone’s immediate physical safety, please call 911. *
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