MTLSD Bullying Report Form
Mt. Lebanon School District Online Bullying Hotline Reporting Form
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The school I attend is: *
What is your Last name? *
What is your First name? *
What is the Last name of the bullying victim? *
What is the First name of the bullying victim? *
When did you witness the bullying incident? *
MM
/
DD
/
YYYY
What time did it occur? *
Time
:
Where did it occur? *
What is the Last name of the person doing the bullying? *
What is the First name of the person doing the bullying? *
Please describe the bullying behavior in as much detail as possible: *
What is the best way to contact you? *
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