Dignity For All Students Act
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What is your name and how can we contact you?
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Are you the person being teased or harassed in anyway?
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No
If you are not the person being bullied, have you witnessed someone else being bullied?
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No
What is the name of the person being bullied?
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What is the name of the person doing the bullying?
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What time of day is this happening?
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Enter time of day, class period, etc.
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Where is this happening?
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be specific: playground, bus, classroom, hallway, etc.
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Describe what is happening in the best way you can.
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