Anonymous Bullying Disclosure Form

The Superior North Catholic District School Board takes any bullying situation seriously and the submission of this form. This form allows you to describe a situation of bullying experienced or witnessed at your school.

What is Bullying? 

Bullying is aggressive behaviour that is typically repeated over time. It is meant to cause harm, fear, distress or create a negative environment for another person.

Bullying can happen when there is a real or perceived power imbalance. An “imbalance” could mean one student is older or in a higher-grade level than another student. (Ontario Ministry of Education)

Read the legal definition of Bullying in the Education Act.

Note: if you are in need of immediate support call 911. This form is not monitored 24/7. Here is a list of Mental Health Services.

*Please note that the given information will be shared with any and all owners of the form and school administration where appropriate.

Sign in to Google to save your progress. Learn more
What school did the alleged incident occur?
*
Date of alleged incident *
MM
/
DD
/
YYYY

What is the reason for your disclosure?

*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Superior North Catholic District School Board. Report Abuse