Bullying/Safety Report

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Please use this form to electronically submit any safety issues or alleged bullying. Anonymous reports are accepted and all incidents are initially considered "alleged".

False accusations of harassment, intimidation, or bullying shall be subject to appropriate disciplinary action.

What is your name?

(Optional)

What is your email address?

(Optional)

What is your telephone number?

(Optional)

Enter the victim's full name. *

Enter the date of the alleged incident. *

YYYY

Offender Name(s) *

Please Provide Accurate Information.

Offender(s) is/are a... *

Were the offender(s) a CTC student, parent or other?

Where did the alleged incident occur? *

On School Property

On School Bus

At School Sponsored Event

On Way to/from School

Other

Required

Type of Incident *

Physical

Verbal

Psychological

Cyber-Bullying

Required

Were there any witnesses?

What happened? *

Please Provide Accurate Information.

Comments

Please provide any additional information that would be helpful.

Submit

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