Bullying Incident Form
Students, families and community members are encouraged to complete this form to report a bullying incident. An incident can also be reported by let a staff member know. A staff member will follow up regarding the incident. 

The full policy on Bullying can be found on the Robbinsdale Area Schools website at:
Email *
Date *
MM
/
DD
/
YYYY
School *
Name of staff, parent or student reporting the incident (reporter can choose to be anonymous).  *
Name of Alleged Victims and Grades *
Alleged Offenders and Grades *
Incident Description (Please include the location and how you learned about the incident). *
Did you witness the incident? *
Required
Other information you would like to provide. 
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