Bullying Allegation Form - Granby Jr/Sr High School

Name of Reporter/Person Filing the Report:

This line may be left blank if an anonymous report is being made

(Note: Reports may be made anonymously, but no disciplinary action will be taken against an alleged aggressor solely on the basis of an anonymous report.)

Are you: *

The Target of behavior

Reporter (not the target)

Please indicate if you are a:

Student

Staff Member (specify role on next page)

Parent/guardian

Administrator

Other (specify on next page)

Clear selection