Offensive Incident Report From
What is Bullying? Bullying is when someone repeatedly and on purpose says or does mean or hurtful things to another person. Please share your concern with us if you have experienced a student not showing Tiger Pride.
Your Name:
Your answer
Relationship to the person being bullied:
Date(s) of Incident:
Your answer
Type of Bullying?
Who was Bullied? (Please list first and last names and grade level of all students, if reporting multiple students.)
Your answer
Who did the Bullying? (Please list first and last names and grade level of all students, if reporting multiple students.)
Your answer
Were there any bystanders? If yes, please list first and last name.
Your answer
Where did it happen?
Your answer
Time of day:
Has this happened before?
Did a physical injury result from this incident?
Briefly describe the incident:
Your answer
Please include any other information what we need to know:
Your answer
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