SPBCS Bullying/Harassment Report Form
St. Pascal Baylon Catholic School maintains a firm policy prohibiting all forms of bullying. Everyone is made in the image and likeness of God, therefore everyone deserves to be treated with respect and dignity. If you feel that you have been bullied, have been told by your child that he/she was bullied or if you witnessed someone being bullied and wish to report it, please complete the following form. For more information on our school's bullying and harassment policy, please see our Family Handbook.
Your Name (optional, but very helpful)
Your answer
I am a *
Is this an ongoing behavior? *
Who did the bullying behavior? *
Your answer
What was the bullying behavior? *
Your answer
Who was the target/victim? *
Your answer
What did the target/victim do? *
Your answer
When and where did this take place? If online, please state the site(s) or platforms(s) used. *
Your answer
Has anyone else been told about this incident? *
If someone else has been told, please state their name(s) below:
Your answer
What was done to try and correct this problem? *
Your answer
Any other additional information you would like to share?
Your answer
Submit
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