Stop Bullying
This form is for reporting bullying. You may remain anonymous if you wish. If you identify others please give as much information as you can.
Name (optional - you can remaina nonymous or use pseudonym)
Surname (optional - you can remaina nonymous or use pseudonym)
I am a...
Clear selection
The grade of the learner being bullied
Clear selection
Nature of the bullying
Clear selection
How often does it take place
Clear selection
How many people are involved
Clear selection
The bully is...
Clear selection
Write a short report here. It is important to give details of the bully like his or her name and their class if you know it. Where it ocurs and what it is about. If you want us to take it further (As in a disciplinary hearing) you will have to submit a contact number or e-mail adress below.
Contact detail (Only if you want feedback or for us to institute a disciplinary hearing)
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