Hildreth Anonymous Bully Reporting Form
Reports of bullying or retaliation may be made by staff, students, parents or guardians, or others, and may be oral or written. Reports made by students, parents or guardians, or other individuals who are not school or district staff members, may be made anonymously. While reports may be made anonymously, no disciplinary action will be taken against an alleged aggressor solely on the basis of an anonymous report. If you are reporting an alleged incident of bullying you may fill out and submit this form either anonymously or including your name. You also may contact the Principal or Associate Principal to file an oral report. Hard copies of this form can be printed out from the Anti-Bullying Plan, located in the "for parent section/documents" of this website or picked up in the school's office.
Sign in to Google
to save your progress.
Please selection one of the following
I am the target of alleged bullying
I am reporting alleged bullying and am not the target
Please select one of the following
I am a student
I am a parent
Name of Target of the behavior
Name of Aggressor (person who engaged in the behavior)
Date(s) of incident(s)
Time when incident(s) occured
Location of incident(s) (Please be as specific as possible)
Witnesses (list people who saw the incident or have information about it)
Describe the details of the incident
Grade level of your child (or you if you are a student)
Your contact information (phone number)
Never submit passwords through Google Forms.
This form was created inside of Harvard Public Schools.