Bullying Report

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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?