Anonymous Bullying Reporting
This form is being provided as a reporting mechanism for bullying. Please fill out the form entirely. Every report will be investigated and responded to appropriately. Thank you for your role in eliminating bullying!
Who was being bullied? (First and Last Name)
Your answer
Who was bullying the individual/group named above? (First and Last Name(s) *
Your answer
Who is reporting this instance of bullying? *
Please provide the name(s) of any witnesses to the bullying (First and Last if possible).
Your answer
Please provide as much information as possible regarding this situation. The more information that is provided, the better chance of our staff successfully addressing the bullying situation. *
Your answer
Has this been reported to any adults in the building? If so, who? *
Your answer
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