Report Bullying

Which campus is this report for?

Who was being bullied, harassed, intimidated, or harmed?

First Name Question is mandatory

Last Name

Please indicate the grade level of the person being bullied, harassed, intimidated or harmed.

Were there witnesses? If so, who?

If possible, please tell us who was bullying, harassing, intimidating, or causing harm?

When did this incident occur?

Before School

During School

After School

Did this event occur via an electronic device? Question is mandatory

Yes

Please indicate the date of this incident.

How many times has this situation occurred? Question is mandatory

1 to 2

3 to 5

More than 5

Have you reported this incident to an adult? Question is mandatory

Yes

Describe what happened. Please give as much information as you can, including any witnesses. Question is mandatory

Tell us who you are Question is mandatory

(Select one or more)

How can we contact you? Question is mandatory