BISD High School Anonymous Bullying Report Form
You will never be identified as the person making the report. As part of the investigation you may be called to the office, if you list yourself as a witness.
* Required
When did this happen?
*
MM
/
DD
/
YYYY
Your Name (Optional)
Your answer
Your Grade
9th
10th
11th
12th
Alleged Bully's Name
*
Your answer
Alleged Bully's Grade
9th
10th
11th
12th
Other:
Please chose one
*
I was bullied.
I saw someone get bullied.
Where/Time did this happen?
*
Classroom
Hallway
Bathroom
Cafeteria
Outside
Social Media Page (Twitter, Instagram, etc.)
Bus
Locker Room
Internet
Other
When did the bullying happen?
Before school
After School
Lunch
Between classes
During class
During nutrition break
Outside of School
Name of any bystanders/witnesses (optional)
Your answer
Names of people the victim spoke to about the bullying (optional)
Your answer
In as much detail as you can provide, tell exactly what happened.
Your answer
What else would you like us to know?
Your answer
Submit
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