SHDHS Anonymous Bullying Report
A safe anonymous way to report bullying you've experienced or witnessed. Unless you write your name in the description of what happened or write your name requesting follow-up in what you want the school to do to make a resolution, you will remain anonymous.
* Required
When did the latest incident happen?
*
MM
/
DD
Time
:
AM
PM
Where did this latest event happen?
*
Your answer
Who is the victim of the suspected incident?
*
Your answer
How long has this been going on to your knowledge?
*
Your answer
Who is the alleged bully?
*
Your answer
Who are the witnesses? If there are none, please write "NONE."
*
Your answer
What happened or is happening? Please be very specific.
*
Your answer
What do you want the school to do to help resolve this/these event(s)?
*
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Avon Maitland District School Board.
Report Abuse
Forms
