Reporting Form for Allegations of Bullying or Retaliation Related to Bullying
Reports may be made anonymously (unless reporter is a staff member or administrator). No disciplinary action will be taken against an alleged aggressor solely on the basis of an anonymous complaint.
Arlington High School
Ottoson Middle School
Peirce Elementary School
Stratton Elementary School
Thompson Elementary School
Name of Person Filing the Report or if Anonymous, Enter "Anonymous":
Reports may be made anonymously unless reporter is a staff member or administrator
Are you the target of the behavior or a reporter?
Reporter (Not the Target)
Are you a student, staff member, parent or administrator?
Staff Member (please indicate your role on the line below)
Administrator (please indicate your role on the line below)
If you are a staff member or administrator, please specify your role below.
Please provide your contact information/telephone number
*Not required for anonymous targets or reporters
Page 1 of 2
Never submit passwords through Google Forms.
This form was created inside of Arlington Public Schools.