Bullying Report Form
Please report any type of bullying with this online form or leave a note in our Bullying Box located near the media center and office doors. If you would like your report to be anonymous (no one will know you filled it out), just leave the last question blank. You may talk with the principal or counselors, too, if you wish or have your parent call us at any time. Thank you for reporting when kids are unkind. We want to help!
Describe in detail WHAT happened: *
Your answer
Describe in detail WHERE it happened: *
Your answer
Describe in detail WHEN it happened: *
Your answer
Please list the names of any witnesses that saw or heard this happen: *
Your answer
Please list the first and last name of the person being bullied: *
Your answer
Please list the first and last name of the person who is doing the bullying: *
Your answer
Type your first and last name. (But this is optional!) We will make sure no one knows you reported even if you give us your name.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Mustang Public Schools. Report Abuse - Terms of Service