Report Bullying Incident
12 Questions
Please complete this form to the best of your knowledge so we can assist you.
This information will be kept confidential with your campus administrator and/or superintendent.
Thank you for reporting this incident. We appreciate your concern. When you click "Submit Form" this will be sent to the campus administrator.
Physical
Emotional/Social
Damage to Property
Online
Please explain the specific location details such as which hallway, where on the Internet, what restroom, etc
Please explain the specific location details such as which hallway, where on the Internet, what restroom, etc
(OPTIONAL). Please use your full name.
Yes
No
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Report Bullying Incident
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