Report a bullying incident
Reporting a bullying or harassment incident will not be taken lightly by the administration.
Email *
Your Name: *
In order to fully investigate a complaint, the administration needs to be able to talk to you.
Position of complainant: *
Are you a student, staff, or parent?
Date of compaint: *
Name of alleged harasser or bully: *
Date and place of incident or incidents:
Nature of Discrimination or Harassment Alleged (Check all that apply) *
Required
Description of misconduct: *
Name of witnesses (if any): *
Evidence of harassment or bullying, i.e., letters, photos, email, texts, etc
If you have any physical evidence such as those mentioned, bring it to the principal's office. Do not delete emails or texts.
Any other information:
By submitting this form, you are agreeing that this information is accurate and true to the best of your knowledge *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Fremont-Mills Community School District. Report Abuse