Emmons School maintains a policy prohibiting all forms of bullying. This form is sent to appropriate school personnel, who will investigate the report, and respond as necessary. Any student who knowingly makes a false accusation of bullying shall be subject to disciplinary action.
Your Name (First & Last)
I am a
People involved in incident
You must include the name of the victim and bully/bullies.
Describe what happened
Include information on the bully, victim, any witnesses/bystanders; the more detail you provide the better.
Location the bullying occured
Athletic/After School Activity
Date and time of incident
How would you like us to follow up on this?
Meet with Mrs. Huston or Dr. Conway
Speak with another staff member
No follow up needed. Just reporting the incident.
If you answered "other" to the previous question, please explain:
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