Bullying/ Harassment Reporting- Vidor ISD

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Please answer the following questions to the best of your ability. If you feel comfortable, also provide us with contact information.

Type of Incident *

Name of Student being Bullied *

Name of alleged bully *

Your relationship to student being bullied *

Campus *

Location of Incident (Be specific ex. hallway, classroom, cafeteria, bus, internet, social media, etc...) *

Reporting Date *

YYYY

More Details

Your Name

Your Email Address

Your Phone Number

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