*Remember* Bullying is REPETITIVE and involves an IMBALANCE of power
BE an UPSTANDER!
Name (leave blank to be anonymous)
A student- elementary
An MYP Scholar
Parent or Guardian
Who are you standing up for?
Who is doing the bullying? (first, last, and grade)
How many time has this occurred?
more than 5 times
Please describe one or more incidents. Please state facts only.
Did you tell an adult?
If yes, who did you report to and what happened?
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