Report an Instance of Bullying, Harassment, or Intimidation

Please tell us about yourself

Reporter

You can submit your report anonymously, but it will severely limit the ability of administrators to investigate the issue. If you do choose to include your information, it will be held in confidence.

Names of student target/victim(s)

Order
Person

Name of alleged witness(es) if known

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Person

Name(s) of alleged offender(s) (if known)

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Person

On what date(s) did the incident happen?

Order
Select the statement(s) that best describes what happened (Choose all that apply.)
You described the incident as including Any bullying, harassment, or intimidation that involves physical aggression. Please describe.
Where did the incident happen? (Choose all that apply.)

Physical Injury

Psychological Injury

Absences