• Students & Parents
  • Report a Bully

Bullying Report Form: Please help us by filling in all items on this form. Feel free to expand the 'Description' area below to type more than the single line shown.


Name of person being bullied(*)

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Name of Bully(*)

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Your Name (Optional)

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Please select a school(*)

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When did the bullying happen?(*)

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I am a(*)






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Please select all that apply(*)




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Description of Events (Please be specific - use exact wording, names, place, time, etc..)(*)

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Did you witness the bullying?


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Please list the name of any other student or staff who may have witness the bullying

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Our school administrators will investigate the report and take appropriate actions to deal with the situation. Since much of what we do needs to remain confidential, you may not know of the steps we take to stop the bullying. If the bullying does not stop, we need to take additional steps. Please let us know if the bullying continues.