2026-2027 Lee Academy: Bullying Report Form (Anonymous)

Students who view incidents of bullying are encouraged to report them to Lee Academy's administration. If a student is more comfortable reporting in an anonymous format, they can complete this form.

By reporting bullying/cyberbullying/harassing behavior, students can work together with their peers and administration to make Lee Academy a safe place for all. Please report bullying if you experience it yourself, or if you witness it at school, at school events (including sports, extracurricular activities, etc.), on the bus, or online.

Please use this form to report bullying, cyberbullying, or harassment. Once you complete the form, it will be submitted directly to the administrative staff. All reports and any names used in reports are confidential and held in that manner.

Thank you for your bravery and helping Lee Academy administration maintain a safe, positive, healthy learning environment for all.

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Today's Date *
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Date of Incident *
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Location of the Incident *
Name(s) of the Bully/Bullies involved *
Name(s) of the person/persons who were bullied. *
Describe what happened with as many details as you can remember. *
Name of other witnesses to this event. (If no other witnesses write 'None') *
Did you report this incident to anyone? (Yes or No) If yes, please write the name of the adults to whom you reported the incident. *
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