Bullying Incident Report
In order to help to create a bully free environment, we have created a form for students, parents, and staff to use that will allow for reporting of bullying in our school. Please keep in mind that reporting bullying and harassment will be taken seriously. If further information is needed to investigate the report, we will need your contact information. There may be times when contacting the reporter is not appropriate due to privacy. Please be assured that all reports will be taken seriously and kept anonymous.
Status of person making this report
Name of person making report (Not required) but helpful and will be kept anonymous.
Name of person being bullied or harassed and their grade level.
Were you a witness to the bullying/harassment?
List any one else that was a witness to the incident.
What is the name and grade of the person(s) doing the bullying.
What type of behavior was this?
Incidental (spreading rumors, social media, emails, gestures, exclusion etc.
Where did this incident take place? Check all that apply.
On the way to or from school
Describe the incident as detailed as you can.
Never submit passwords through Google Forms.
This form was created inside of Argyle School District.
Terms of Service