Name of the person, or persons accused of bullying:
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Where at school or on the bus did this bullying occur?
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Please describe in as much detail as you can what happened.
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Were there any other persons who may have witnessed the bullying? If so, please name them and provide as much detail as possible about these witnesses, and what they may have seen.
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If you have any other information to add regarding this bullying incident, please add it here.
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This form was created inside of Gladstone Area Public Schools.