Confidential Bullying Incident Form (BAMS)
Bullying is a deliberate or intentional behavior that involves an imbalance of power. Bullying may be motivated by an actual or perceived characteristic, such as, but not limited to: age, national origin, race, ethnicity, religion, gender, gender identify, sexual orientation, physical attributes, physical or mental (dis)ability, and social, economic or family status.

By submitting this form the school will follow all proper procedures to investigate and resolve the behavior.

Reported By: hailey staton *
First Name: *
Your answer
Last Name: *
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Email: *
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Phone Number: *
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First Name of Victim: *
Your answer
Last Name of Victim: *
Your answer
Date of Incident: *
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YYYY
School You Attend: *
First Name of Accused Bully *
Your answer
Last Name of Accused Bully *
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Incident Description Summary. Please Explain What Happened. *
Your answer
Bystanders (Witnesses to the bullying act)
Your answer
Is This a Repeated Incident? *
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