Beye Bullying Report Form
What is your name?
I am a:
What is the name of the student engaging in bullying behavior?
If you do not know the name of the student, please describe the person.
What is the name of the victim?
Where did the incident(s) take place and when?
Please describe the incident(s). Check all that apply
Were there witnesses to this incident?
What are the names of the witnesses?
Please describe the frequency with which this type of incident occurs.
Multiple times per week
Once a week
Once every few weeks
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