Lilbourn Elementary School Bullying Report
This report is anonymous and confidential and should only be used when you are feeling a real concern for the physical, social, or emotional well-being of yourself or another student. If you feel this is an emergency, we encourage you to also report this immediately to a trusted adult. Once this report is submitted, it will be reviewed by the SRO, Social Worker, Counselor, or Principal.
Email address *
Your answer
Please type the name of the student about whom you are concerned. *
Your answer
Where did the incident you are reporting happen? *
Your answer
Please describe the problem/incident you witnessed or experienced. Give as many details as you can. *
Your answer
What is the approximate date and time this incident occurred? *
Your answer
If you would like to leave your name, you may do so below. This is NOT required.
Your answer
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