Initial Bullying Report Form

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Initial Bullying Report Form

Use this form to log incidents of bullying behaviours that you have experienced, witnessed or been told about. Bullying is the DELIBERATE and REPEATED use of AGGRESSIVE or UNKIND behaviour with the intent of HURTING or DISTRESSING the other person.

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* Indicates required question

I am a:

Student

Parent

Teacher

Clear selection

This is a report about:

Myself

Someone else

Clear selection

Nature of incident (tick all that apply) *

Physical

Verbal

Sexual

Racist

Emotional

Cyber

Required

Your name *

Your answer

Names of students involved *

Your answer

Year group/s *

7

8

9

10

11

12

13

Required

Brief description of incident *

Your answer

Submit

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This form was created inside of The Kemnal Academies Trust. Report Abuse