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Report of Suspected Bullying Behaviors
The Region 8 Board of Education promotes a secure and positive school climate, conducive to teaching and learning, that is free from any type of bullying behavior. Anyone who witnesses bullying is asked to report the incident to the school administration immediately. All reports will be thoroughly investigated and appropriate action will be taken.
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* Indicates required question
Date of Report
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mm/dd/yyyy
Your answer
Person Reporting Incident
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If you prefer to remain anonymous, type "anonymous".
Your answer
Date Incident Occurred
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mm/dd/yyyy
Your answer
Time of Incident
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hh:mm AM/PM
Your answer
People Involved in Incident
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First and last names, if known.
Your answer
Report of Bullying Behaviors
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Be as specific as possible.
Your answer
Describe any attempts you have made to resolve the problem.
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Please note relevant dates, times and places. Be as specific as possible.
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Witnesses.
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Both first and last names. If you prefer the witnesses remain anonymous, type "anonymous". If no other witnesses were present, type "none".
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Were the bullying action(s) verbal or (written)?
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Cyberbullying included?
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Previous Incidents
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Describe any previous incidents and include witnesses, dates, and times. Other Witnesses * Both first and last names. If you prefer the witnesses remain anonymous, type "anonymous". If no previous incidents, type "none".
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How can this problem be resolved?
Be as specific as possible.
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