Report that Bully! Being pushed around by a bully is no fun. Sexual harassment is illegal. We want to stop children from harrassing others at school, on the bus, and at school sponsored activites. Use this form to report a student who is harrassing another. The report is totally anonymous and it will be sent directly to an administrator at your school. More information about bullying at school can be found at: www.bullyonline.org/schoolbully/index.htm |
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| Who is the victim? (Provide Full Name) |
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| What was the date and time of the incident? |
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| Who is doing the bullying? (Provide Full Name) |
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| What is this person doing that you do not like? |
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| Has this or something similar happened before? If so, when? |
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| When was the last time it happened? |
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| Where did it happen, or where does it usually happen? |
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| Did anyone else see what happend? |
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| Have you reported this incident to any adult at school? |
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