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Bullying: I think my school should know...

Please complete the form below if you were a witness to an act of bullying or victim of bullying.

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Enter contact information for the person filling out this form. You may remain anonymous, but the school may not be able to thoroughly investigate and will not be able to follow up with you if you do not provide your name and contact information.

First Name

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Last Name

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What school do you (or does your child) attend?*

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What grade are you (or is your child) in?*

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Please describe the incident you are concerned about and would like a school staff member to address. Remember to be as specific and detailed as possible and include names.*

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Provide an approximate date of when the incident occurred.*

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Confirmation Email

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