CJHS Bullying Report
This form is a way to report bullying happening to you or someone else at CJHS. After submitting this form, your response will be sent to administration. They will then follow up with the individuals involved.
What is your Name? (You may report anonymously, however the investigating administrator may need more information than is provided in order to appropriately respond)
Your answer
Your phone number or email address (You may report anonymously, however the investigating administrator may need more information than is provided in order to appropriately respond)
Your answer
What role are you reporting as?
Please check the following boxes that apply:
Where and when did this incident occur?
Your answer
Please describe the incident(s)
Please be as detailed as possible. Including names of those involved is important to be able to follow up on this situation.
Your answer
Submit
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This form was created inside of East Peoria District 86. Report Abuse