This report will help the school staff investigate any bullying that is happening at your school. Your name and email address will not be revealed. Please share as much information as you can.
Gemini Jr. High
Date of Incident
What grade is the student in?
Please tell me what is happening? Be specific (include grade, name(s), etc)!
Where and when is this happening?
If it is occuring on the bus, what bus number is the bullying taking place?
If you would like to be contacted, please leave your contact information.
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