Harassment, Intimidation, or Bullying Reporting Form
Any student can report bullying or harassment by talking to an administrator or completing this form and returning it to the principal. This form can be placed in the school's designated drop off spot for anonymous reporting.
Your Name (optional)
Name(s) of student(s) accused of bullying and/or harassment: *
Where did the incident happen (choose all that apply) *
Required
What did the alleged offender(s) say or do?
Were there any witnesses? *
Required
If yes, who?
Name of person completing this form (optional)
Today's Date *
MM
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DD
/
YYYY
Submit
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