Junior High/Senior High School Bullying Report Form
Please give as much detail as possible to allow the administrative team to investigate the situation you are describing. We will do our best to investigate your report and determine if it is mean behavior or qualifies as bullying. We ask that you are honest in your reporting. Bullying needs to be between students, intentionally hurtful, repeated over time or egregious, involves an imbalance of power, and impacts your learning.
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Today's Date *
When Did The Bullying Begin? *
Person Reporting Incident (optional)
Alleged Bully *
Person Being Bullied *
Where Did The Bullying Take Place? *
Names of Bystanders *
Describe What Happened: *
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