YES Charter Academy Cyber/Bullying Form

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YES Charter Academy Cyber/Bullying Form

This form is available to students, staff, or parents to discreetly report Bullying, Harassment, or intimidation in either the physical or digital space. Please note, If this is a reoccurring issue, that you should inform a trusted adult.

If it is an emergency, please call 911.

If you, or another person, plan on causing self-harm, please make a phone call to:
1-800-273-8255 (National Suicide Prevention Hotline)

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* Indicates required question

First and Last Name (optional)

Your answer

Who did this happen to? *

Me

Another Person

Were there any witnesses? If so, who?

Your answer

Was it Cyberbullying? *

Yes

No

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