Bullying is not a one off event it is something that is done several times on purpose.
Name of person completing this form
Name of student(s)
Name of student(s) involved
Relationship to student involved
Parent / guardian
Teacher / tutor
House / form group
House or form of student involved
Type of Concern / incident
Inappropriate use of ICT and Social Networking / Sexting
Preventing Radicalisation / Extremism
Trafficking, Exploitation and Modern Slavery
Heath and safety - including Academy Site
Harassment and Discrimination
Teenage Relationship Abuse
Female Genital Mutilation
Gangs and Youth Violence
Child Sex Exploitation
Spiritual Possession and Witchcraft
Fabricated / Induced Illness
Gender Based Violence
Concern / incident details
Please be as detailed as possible
Date of concern / incident
Your email address
Your telephone number
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