Bullying Report
Page 1 of 1
Bully Report
Please complete the areas with red asterisks(*) below. You may include your name at the bottom, but it is optional.
Where did this happen?
*
Please be exact, even if it happened off campus.
When did this happen?
*
Please include the time of day. (For example, were you at lunch?)
What happened?
*
Please include the people that were involved (even as bystanders) and exactly what was said and done.
Describe your role.
*
Were you a bystander, a victim, or part of the problem?
What is your name (optional)?
Just an example.
OK