HPE Bullying Incident Report Form
If you have been the target of or have witnessed the bullying of a Troy R-III student, complete this form and click submit. Reports of bullying will be investigated and disciplinary action will be taken according to the handbook .
Date of report:
MM
/
DD
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YYYY
Your name (students have the right to complete this form anonymously):
Your answer
Indicate the appropriate response to the following: I am a...
Dates of bullying incidents:
Your answer
Name of student being bullied:
Your answer
Name of student(s) committing the alleged bullying or harassment:
Your answer
Summarize the incident(s) and occurrence(s) of bullying as accurately as possible:
Your answer
Name of witnesses (people who have seen/heard the alleged bullying take place):
Your answer
Have you reported this to anyone else? If no, type no. If yes, tell us who.
Your answer
Submit
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