Harassment Report Form

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If a student or group of students is harassing you or your student, please fill out this report form. Our school personnel will then be able to begin the harassment process and follow up with you about ways we can support all students involved. Only our TFS administration team and counseling staff will receive this form once it is submitted.

Email *

Your Name *

If transcribing for another person please include their name here:

Best way to contact you: (Phone, In-Person, Email) *Please include Phone Number or Email

The person(s) harassing me:

Date of harassment:

YYYY

Tell us as much as possible about this harassment: (Where did it occur? When did it occur, etc).

Please include any additional information or details about this harassment you want our school personnel to have knowledge of:

Send me a copy of my responses.

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