AHPS Bullying Report Form
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Name of reporter/person filing the report *
Reports can be made anonymously, but no disciplinary action will be taken against an alleged aggressor solely on the basis of an anonymous report.
Are you the target of the bullying? *
Are you: *
Contact Information/Telephone Number
If you are a student, which school do you attend? (If you are a parent, which school does your student attend?)
Skip if you are not a student or parent.
If you are a staff member, which school/work site(s) are you assigned to?
Skip if you are not a staff member.
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