AZVS Bullying Incident Form
As written in the Student Handbook, 

"If a student believes that he or she has experienced bullying or witnesses the bullying of another student, the student or parent should fill out the AZVS Bullying Incident Form. The administration will investigate any allegations of bullying and related misconduct. The school will also provide notice to the parent of the alleged victim and the parent of the student alleged to have engaged in bullying."

Answer each question fully, adding as much detail as possible. If you need assistance filling out this form, please contact your counselor.
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Optional: What is your first and last name?
Please select your school *
What is your grade level?
 *
Date of the incident?
 *
MM
/
DD
/
YYYY
What was your role in the incident?
 *
If you chose OTHER, please explain below:
Where did the incident occur?
 *
If you chose OTHER, please explain below:
Do you have any screenshots, or documentation of the incident? 
 *
What is the name of the student(s) who committed the bullying?

If you do not know their name, write "I don't know".
 *
Were there any other witnesses to the incident? 

Type their names below or put "I don't know".
Have you reported this incident anywhere else?
 *
Optional: What is the best way to contact you for further questions? Type your contact information below:
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