Bullying Report
This form is to report an instance of Bullying.  It can be filled out by the target of the incident, a witness/bystander, teacher, parent, etc.  
This form is not anonymous, however the name of the person filling it out will only be seen by Ms O'Donnell, Mr Steinberger and/or Ms Prchal.  
Email *
What is your name *
In this scenario, I am the: *
If you are not the target of this bullying situation, what is the name of the student who is?                                     (If you do not know the name, please give a detailed description) *
Who is the alleged bully? (Or bullies) *
Did you witness the alleged bullying happening? *
Did the alleged bullying happen during school hours?   *
Please describe in detail what happened...                (Who, what, where and when!) *
Are there any other witnesses/bystanders with information about the alleged bullying? *
THANK YOU!!!!
It is so important to report instances of bullying! Thank you for helping to support the students of iMiddle and create a safe environment for all!
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