Bullying Report Form
Including your name is optional
What is your name? (This is not required to report.)
Who are you? *
I would not like to identify myself in any way.
What is the name of the bully? (This is required to initiate the bullying process.) *
Who is the target of the bullying? (This is required so that we can provide support.) *
What would you like to report? Please include any dates and times if possible. *
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This form was created inside of Conotton Valley Union Local School District.