CIS Bully Report Form
If you are aware of someone being bullied at Cheraw Intermediate School, please complete the form below. 
Provide as much detail about an incident as you personally know.  This form is anonymous, however you will have the option of sharing your contact information.
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When did the incident you are reporting take place?
MM
/
DD
/
YYYY
Where did this occur?
Describe the incident that you are reporting:
List the names of participants of which you are aware:
Would you like to provide your name?
What is the best way to contact you for follow-up?
Submit
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