Bullying/Harassment Form
If you have witnessed or have been a victim of bullying or harassment, please fill out this form to share with Platteville School District staff.
* Required
Email address
*
Your email
What is your name?
*
Your answer
Date of when the incident happened.
*
Your answer
Location of the incident.
*
Your answer
Name of the victim.
*
Your answer
If possible, click the school victim attends.
Platteville High School
Platteville Middle School
Westview Elementary
Neal Wilkins Early Learning Center
Other:
Clear selection
Name of the others who were allegedly involved.
*
Your answer
Names of any witnesses to the incident.
*
Your answer
Please explain what happened.
Your answer
List evidence, if any: (IE: letters/notes, graffiti, photos, e-mails, web sites, video/audio recordings, text messages, Facebook pages, etc.).
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Platteville School District.
Report Abuse
Forms