REPORT BULLYING
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Rude: Careless, saying or doing something that hurts someone else. (Do not submit).
Mean: Purposely saying or doing something to hurt someone once or twice (Do not submit).
Bullying: Intent involves three elements intent to harm, Repeated acts, and an imbalance of power. (Fill out completely and submit)
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Victim's name (Last, First)
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Name of person reporting (Optional)
Relationship to victim
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Self
Parent
Teacher
Classmate
Other
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Phone number (If adult is reporting)
Email address (If adult is reporting)
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Name or description of accused bully. (Please include first and last name when possible)
Location of incident
Names of Possible witnesses to the incident
Date of incident?
Number of incidents involving this person?
1
2
3
4
5
More
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Describe what happened in as much detail as possible.