Bully Reporting-Westerly High School
Email address *
Your Name (optional, but helpful):
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I am a:
Describe the situation:(include info on the bullly, victim, any witnesses/bystanders; the more detail you provide the better)
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Alleged Bully
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Alleged Vicitm
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Witnesses/Bystanders:
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Select the statement(s) that you believe best describe what happened. (choose all that apply)
Electronic Communications used to bully (select all that apply):
Harassment (select all that apply)
Location(s) (select all that apply):
Date and Time this happened:
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What sort of help would you like with this issue?
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Have you told anyone else about this incident? Who?
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Additional Information:
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