Bullying Hotline

Bullying Hotline

Bullying Hotline

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Anonymous Bullying Reporting Form

Directions: Bullying will not be tolerated. This is a form to report alleged bullying. The following information will allow us, as a school district, to address and correct bullying behavior. The more information shared is helpful in improving any situation. All reports are anonymous.

Today's Date:*

Select Date


Person Reporting:

Phone Number:

Email address:

Select the appropriate person reporting the incident:*

Name of student victim:*

Name of alleged witness(es):*

Name of alleged offender(s):*

On what date(s) did the incident happen?:*

Where did the incident happen (choose all that apply)?*
Select at least 0 and no more than 0.

On School Property   
At a school-sponsored activity or event off school property   
On a school bus   
On the way to/from school   

Description of the incident

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