BMS Anonymous Student Complaint Form
Please use this form to report incidents of bullying, harassment, dating violence & sexual violence
Name of person filling out the report
If you don't want to leave your name, just enter "Anonymous"
Date incident happened
Name(s) of students/adults involved
Please list the name(s) of students and/or adults involved. Please list one name per line.
Where did this this happen?
Please describe what happened
Were there any witnesses?
Clear selection
If yes, what are their names?
Please list the name(s) of any witnesses. Please list one name per line.
Is this the first time this has happened?
Clear selection
If no, how many other times has this happened before?
Other information about previous incidents or threats
Please add any additional information about previous incidents or threats
Do you want to meet with Ms. Robidoux about this incident?
Clear selection
If yes, how can we contact you?
If you are not a student, please leave an email address or phone number that Ms. Robidoux can use to contact you
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