Cooper School Bullying, Harassment or Intimidation Reporting Form
Please complete the form as much as you can. If you need to leave parts blank, that is not a problem. Ms. Ahn will investigate all allegations of bullying, harassment, or intimidation as quickly as possible once a report is submitted.
Who is completing this form?
(first and last name)
Your answer
Who is the victim?
(first and last name if known--if more than one, please list all known victims)
Your answer
Who is the bully?
(first and last name if known--if there is more than one, please list all of them)
Your answer
Are there any witnesses? Please list all known witnesses.
Your answer
What happened?
Your answer
When did this happen?
Your answer
Is there anything else you would like to tell us?
Your answer
Submit
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