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Bullying Report Form
Per ORC 3313.666
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* Indicates required question
What is your name? (This is not required to report.)
Your answer
Who are you?
*
Student
Parent
Community Member
I would not like to identify myself in any way.
Other:
What is the name of the bully? (This is required to initiate the bullying process.)
*
Your answer
Who is the target of the bullying? (This is required so that we can provide support.)
*
Your answer
What would you like to report? Please include any dates and times if possible
*
Your answer
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This form was created inside of Noble Local School District.
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