Bullying Incident Report Form
Date of Incident
Where did the incident take place?
On the way to school
In the classroom
In the hallway
In the lunchroom
On the bus
In the restroom
In the locker room
In the parking lot
On the Internet
At an afterschool program
At a school sponsored event
If the event happened at school, which campus?
SGS Ranch Campus Pk-2nd grade
SGS Elementary 3rd grade -8th grade
SG Academy High School 9th grade - 12th grade
Who was the person(s) engaged in bullying? What grade(s) are they in?
Who was being bullied? What grade are they in?(All names will be kept confidential)
What type of bullying occured?
Cyber (Cell phone, text, email, Snapchat, Twitter, Facebook)
Please explain the incident.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service