MTRSD Bullying, Harassment, Sexual Harassment, or Discrimination Report
Please use this form to report incidents of alleged bullying, harassment, sexual harassment, or discrimination.
Email *
Your name: *
I am reporting an incident of: *
Your relationship to target:
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Name of the target of bullying or harassment: *
Name of the student(s) accused, if known: *
The date and time such conduct took place: *
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Time
:
Please describe the conduct or incident in as much detail as possible: *
Where did this incident take place? *
Were there any witnesses to the incident? If you know any names of those involved, please list them:
Did the target do any of the following things immediately after the incident?
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If the incident was reported, to whom was it reported?
Any other details or information that might be helpful:
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