Bullying Report
Per the Florida Department of Education, bullying is defined as systematically and chronically inflicting physical hurt or psychological distress on one or more students that is severe or pervasive enough to create an intimidating, hostile, or offensive environment; or unreasonably interfere with the individual’s school performance or participation.

If you or someone you know is a target of bullying, let us know the name of your school and as many specifics of the situation as possible.

Name (Optional)
Your answer
School Name
Contact Information (Optional)
Your answer
Describe the bullying situation
Your answer
List any persons involved and their role
Your answer
Have you reported the bullying to anyone?
If yes, who?
Your answer
Never submit passwords through Google Forms.
This form was created inside of School District of Palm Beach County. Report Abuse - Terms of Service