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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?)
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.