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Bully Reporting

Bullying is unwanted, aggressive behavior among school-aged children. It involves a real or perceived power imbalance and the behavior is repeated, or has the potential to be repeated, over time.

Your Name*

Answer Required

Who was bullied? (Name and Grade)*

Answer Required

Who did the bullying? (Name and Grade)*

Answer Required

When did the bullying happen?*

Answer Required

Where did the bullying happen?*

Answer Required

How often has this person bullied the victim within the past month?*

Answer Required

1 Time

2-3 Times

4+ Times

Type of Bullying*

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Verbal

Non-verbal

Physical

Cyber-bullying

Other:

Briefly describe the incident*

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Any other information that you would like to share

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If you have previously reported this incident (or prior incidents of bullying involving this bully and victim), to whom was the report submitted, and when?

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Confirmation Email

Email Required