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Report Bullying
Bullying is unwanted, repeated, aggressive behavior(s) that involve a real or perceived power imbalance.
Use this form to report alleged bullying that involves LISA Academy students at the Rogers-Bentonville campus.
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When did the incident occur?
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Where did the incident occur?
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Your answer
Who was bullying, harassing, intimidating, or causing harm?
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Your answer
Who was the person being harmed, bullied, harassed, or intimidated?
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Your answer
Were there any witnesses? List their names here.
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Your answer
Describe what happened. Give as much information as you can.
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Your answer
You are a...
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Student
Parent
Other:
What is your name? (optional)
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If you are not a student at this campus, and you would like someone to talk to you, please list your phone number here. (optional)
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