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