Velma-Alma Schools Anonymous Bullying Report
Please complete this form to report a bullying incident. The report will be sent anonymously to the school administration.

Bullying means engaging in written or verbal expression or physical conduct that will have the effect of physically harming a student, damaging a student's property, or placing a student in reasonable fear of harm to the student's person or of damage to the student's property; or is sufficiently severe, persistent, or pervasive enough that the action or threat creates an intimidating, threatening, or abusive educational environment for a student.

Harassment means threatening to cause harm or bodily injury to another student, engaging in sexually intimidating conduct, causing physical damage to the property of another student, subjecting another student to physical confinement or restraint, or maliciously taking any action that substantially harms another student's physical or emotional health or safety.
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What is your involvement in the incident? *
Date and Time of incident *
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Time
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Description of Incident *
Describe the situation involving bullying. In your description include location, names of students involved, and any other details that you think might be helpful.
Name of Person Providing Report (Optional)
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