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AHPS Bullying Report Form
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* Indicates required question
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.
Your answer
Are you the target of the bullying?
*
Yes
No
Are you:
*
Student
Parent
Administrator
Staff Member
Other:
Contact Information/Telephone Number
Your answer
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.
Your answer
If you are a staff member, which school/work site(s) are you assigned to?
Skip if you are not a staff member.
Your answer
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