Report of Suspected Bullying Behaviors
The Region 8 Board of Education promotes a secure and positive school climate, conducive to teaching and learning, that is free from any type of bullying behavior. Anyone who witnesses bullying is asked to report the incident to the school administration immediately. All reports will be thoroughly investigated and appropriate action will be taken.
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Date of Report *
mm/dd/yyyy
Your answer
Person Reporting Incident *
If you prefer to remain anonymous, type "anonymous".
Your answer
Date Incident Occurred *
mm/dd/yyyy
Your answer
Time of Incident *
hh:mm AM/PM
Your answer
People Involved in Incident, you must include the name of the victim and bully/bullies *
First and last names, if known.
Your answer
Report of Bullying Behaviors *
Be as specific as possible.
Your answer
Describe any attempts you have made to resolve the problem. *
Please note relevant dates, times and places. Be as specific as possible.
Your answer
Witnesses. *
Both first and last names. If you prefer the witnesses remain anonymous, type "anonymous". If no other witnesses were present, type "none".
Your answer
Were the bullying action(s) verbal or (written)? *
Cyberbullying included?
Your answer
Previous Incidents *
Describe any previous incidents and include witnesses, dates, and times. Other Witnesses * Both first and last names. If you prefer the witnesses remain anonymous, type "anonymous". If no previous incidents, type "none".
Your answer
How can this problem be resolved?
Be as specific as possible.
Your answer
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