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Bullying Prevention and Response Form
Student Handbook
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Bullying Prevention and Response Form
Bullying Prevention and Response Form
This form requires Javascript to be enabled for submission and authorization.
*
Required
Name of person making the report
*
required
First Name
Last Name
School
*
required
District
Little Bronchos Preschool
Amelia Earhart Elementary School
Edgelea Elementary School
Glen Acres Elementary School
Miami Elementary School
Miller Elementary School
Murdock Elementary School
Oakland Elementary School
Vinton Elementary School
Sunnyside Intermediate School
Tecumseh Jr. High School
Oakland Academy
Jefferson High School
Name/s of the potential bully/bullies
*
required
How often is it happening
*
required
One Time
Two Times
More than Two Times
I Heard About It
Where is it happening
*
required
Classroom
Gym\Locker
Lunch Room
Hallway
Bus
Other
What is happening?
*
required
Teasing
Hitting/Kicking
Cyber Bullying
Name Calling
Pushing and Shoving
Gossip and Rumors
Destroying Property
Other
Any additional information?
Submit
