Bullying Incident Report
This form will be used to report incidents of bullying at McDill School.  All reports of bullying will be sent to the school administration and kept confidential.  

Members from the McDill Team will review and determine who will conduct follow up with the individuals involved in the alleged incident.  This could include Administration or Student Services.
Email *
Your Name?
 *
When did the incident(s) of bullying take place?
 *
Please enter the date when the incident(s) occurred.
MM
/
DD
/
YYYY
Who was doing the bullying?
 *
Please be sure to include all individuals involved.  
Who was being bullied?
 *
If you were the victim and want to be anonymous, please type "me"
When and where did the bullying take place?
 *
Please describe what happened.
 *
Please include how the incident(s) started, those involved, and details of the event.
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