James H. Eldredge School Bullying Reporting Form
For more information, please refer to the Bullying, Intimidation, & Harassment policy of East Greenwich schools:

tinyurl.com/EGpolicy

All sections are optional. The information you provide will be submitted to the principal of Eldredge.

Name of the person filing this report:
Your answer
List the name/s of the victim/s.
Your answer
List the name of the alleged transgressor/s.
Your answer
What is the relationship between you and the alleged transgressor and victim?
If names are unknown, please provide any other identifiable information.
Your answer
Please list all the students involved.
If names are unknown, please provide any other identifiable information.
Your answer
Please provide a description of the incident/s.
Your answer
Where & when did the incident/s occur?
Your answer
If there were any witnesses, please list all their names.
Your answer
Form of bullying being reported: *
(Check all that apply)
Required
Where has the bullying occurred?
(Check all that apply)
Who else have you reported this incident to, if anyone?
Your answer
Other information, including previous incidents or threats:
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of East Greenwich Public Schools. Report Abuse - Terms of Service