Bullying Reporting System (BRS)
St. Ailbe School
Please leave as much information as possible so the school can take action. You can do this ANONYMOUSLY. YOU DO NOT NEED TO IDENTIFY YOURSELF. We want to make sure all students are treated with the dignity and respect that everyone deserves.
Where did the incident occur? *
What day did it happen? *
MM
/
DD
/
YYYY
What time did it happen?
Time
:
Who was bullying, harassing, intimidating, or causing harm? (the bully) *
Your answer
Who was the person being bullied, harassed, intimidated, or harmed? (being bullied) *
Your answer
Were there any witnesses? List their names here.
Your answer
Describe what happened. Give as much information as possible. *
Your answer
Are you a student? *
Your name (optional)
Your answer
If you are not a student at St. Ailbe and would like someone to contact you about the incident, please leave a telephone number to reach you.
Your answer
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