Which campus is this report for?
Please indicate the grade level of the person being bullied, harassed, intimidated or harmed.
Where did this incident occur?Question is mandatory
When did this incident occur?
Did this event occur via an electronic device?Question is mandatory
Please indicate the date of this incident.
How many times has this situation occurred?Question is mandatory
Have you reported this incident to an adult?Question is mandatory
Tell us who you areQuestion is mandatory
(Select one or more)
How can we contact you? To receive a personalized response, please enter your name and at least one method of contact. If you leave this section blank, then we will not be able to respond to your message. If you would like to receive a response but keep your identity hidden from us, enter your email address and select 'Hide your contact information from the district.'

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