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Wyandotte Public Schools Bully Form
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Please select the school where the incident occurred
High School
Middle School
Elementary School
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Submitted By:
Name or leave blank for anonymous
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Contact Information:
phone, email, etc. Leave blank for anonymous
Your answer
Who is making the report?
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Student being bullied
Parent of student being bullied
Other student
Other parent
Teacher
Other
Who is committing the bullying?
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Name of person being bullied:
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Date, Time and Location of the bullying:
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Description of what happened:
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Please name any witnesses who may have information about the incident.
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Any additional information that will help us understand this incident.
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