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Report of Harassment OR Bullying

*Please note, required fields are in red.

Students or Staff may use this tool to report any form of harassment.

ALL REPORTS WILL BE KEPT STRICTLY CONFIDENTIAL! THE MORE INFORMATION YOU PROVIDE, THE EASIER IT WILL BE FOR US TO TAKE APPROPRIATE ACTION.

By requesting a copy of this report your email address will be shared with the Principal.
What School do you attend?
Your Name: (Optional)
Date of Report:
RadDatePicker
RadDatePicker
Open the calendar popup.
Date of Alleged Harassment:
RadDatePicker
RadDatePicker
Open the calendar popup.
Location of Alleged Harrassment:
Name(s) of Victim(s):
Name of Alleged Harasser:
Name(s) of Witness(es), if any: (Optional)
Description of the incident or behavior:
 


Thursday, April 27, 2017