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.

Email address *
Today's Date *
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Date of Incident *
MM
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DD
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YYYY
Person Reporting Incident *
Your answer
Location of Incident *
Suspected Bully *
Your answer
Suspected Victim *
Your answer
Possible Witnesses
Your answer
Type of Bullying Incident (check all that apply): *
Required
Incident Description *
Your answer
A copy of your responses will be emailed to the address you provided.
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