Franklin Central School's Suspected Bullying/Harrassment Reporting Online Form

The Franklin School District is committed to providing a learning environment that promotes respect, dignity and equality. The Board of Education recognizes that harassment, discrimination, hazing, and bullying hinder student learning and achievement. This form is intended to inform school personnel of alleged incidents of harassment. If you are reporting an incident please fill-in the required information below, and click submit. The form will forwarded to the Dignity for All Students Act Coordinator. Thank you for supporting Franklin Central School in providing a safe and supportive learning environment.
Date
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Time
Time
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Name of alleged agressor(s) or bully(s): *
Your answer
Name of witness(es): *
Who else saw the suspected bullying incident occur?
Your answer
Where did the incident occur? *
If you answered classroom, please indicate what teacher's classroom the suspected incident occured
Your answer
What behavior describes what happened *
Has this bullying ocurred longer than this incident? Please describe *
Your answer
Did any adults witness this suspected bullying incident? If yes, who *
Your answer
Was this incident reported to an adult? If so who *
Your answer
What date and time did the suspected incident occur? *
Your answer
Please describe the incident below in as much detail as you can: *
Your answer
Name of the person completing this form: *
Your answer
Submit
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