Brookfield School Bullying Report

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This is confidential system to report bullying and abuse at Brookfield ,this system will only be read by senior staff.
Please give as much information as possible.

Please provided your name *

This is a confidential system and the report will only be seen by senior staff at the school..

What year are you in? *

Please enter your gender. *

eg M=Male, F=Female

What was the date of the incident?

dd/mm/yy

Describe the incident *

Please give as much information as possible

Where did this take place *

On the way to or from school

Corridor

Toilets

Bus

Playing field

Classroom

Dining Hall

Changing rooms

Other:

When did this take place *

Further action *

Please select one option

I am happy to discuss this with my Head of Year.

I don’t want any action taken this time.

Required

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