South School Bullying and Harassment Reporting Form
Anyone can report bullying or harassment by talking to an adult at school or completing and submitting this form.
Email address *
Please type your name here:
Your answer
Please provide us with the best way to contact you to follow up:
Your answer
Who do you believe is being bullied/harassed?
Your answer
Who do you believe is bullying/harassing?
Your answer
Was an adult at the school made aware of the bullying/harassment?
If yes, please type the name of the adult that was made aware:
Your answer
Where did it happen?
Was there a witness(es)?
If yes, please type the name of the witness(es):
Your answer
Explain what you know of the incident:
Your answer
A copy of your responses will be emailed to the address you provided.
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