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Parent Information
Anonymous Bully/Threatening Behavior Report
Anonymous Bully/Threatening Behavior Report
Please Fill Out The Anonymous Bully/Threatening Behavior Report Below
Provide your contact information (name, email, etc.) if you would like. (optional)
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Who are you? (optional)
Student
Teacher
School Staff Member
Administrator
Board Member
Volunteer
Parent
Other
Other
Please choose the location where the incident happened.
Classroom
Hallway
Outside at School
Cafeteria
Other
Other
Please provide us with the TIME and DATE that the incident happened.
How many times has this situation happened?
This is the first time
One other time
Once a month
Once a week
Everyday
Have you reported this incident to an adult?
Yes
No
Who was bullying, harassing, intimidating or causing harm? (Please include first name, last name, and grade if possible.)
Describe what happened. Give as much information as you can. Let us know if there were any witnesses.
If you are not a student as this campus and would like someone to contact you, please add your phone number here. (optional)
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