Online Bully Report
Choosing to help someone in need is very brave. If you see this happening again, please report it. Together we can stop bullying.
Name of victim(s) *
Your answer
Name of Student(s) bullying *
Your answer
Select a School *
Name of witness(es)
Your answer
Date of this incident (as close as possible) *
MM
/
DD
/
YYYY
Time of incident
Time
:
Where did the incident happen? *
Required
What best describes the incident? *
Required
Describe what happened *
Your answer
Is this the first time this victim has been bullied by this person? *
If no, please describe other instances:
Your answer
Would you be willing to talk to someone about this?
If yes, please type your name.
Your answer
Submit
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