Bullying Incident Log
It could be bullying if:

The person is being hurt, harmed or humiliated with words or behavior.
The behavior is repeated, though it can be a single incident.
It is being done intentionally.
The person being hurt has a hard time defending themselves from the behavior.
The student(s) who are doing it have more power.
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Email *
Today's Date *
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Date of Incident *
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YYYY
Person Reporting Incident *
Location of Incident *
Suspected Bully *
Suspected Victim *
Possible Witnesses
Type of Bullying Incident (check all that apply): *
Required
Incident Description *
A copy of your responses will be emailed to the address you provided.
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This form was created inside of North Nodaway R-6 Schools. Report Abuse