Anonymously Report Bullying

Bullying Report



Name (optional):                     Email (optional) :  

Are you the person being bullied?  Yes   No

Did you witness the incident?  Yes   No

Do you believe the person being bullied is in physical danger?  Yes   No

What type of bullying occurred (hold down the control key to select multiple items)?  

What is your role?  

Were there any witnesses?  Yes   No

Where did the incident take place?

Explain the incident in detail? 



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