Person County Schools Virtual Academy Anonymous Bullying Report

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The Person County Schools takes acts of bullying seriously for students. If you, or someone you know has been bullied, please use this anonymous form to report the act to the appropriate administrator. This form does not track who sent the report. For student bullying, the submitted report will then be forwarded to the appropriate school administrators for investigation.

Bully Reporting Form

Be sure to click "submit" after answering the following questions.

I have reported this event to my school: *

Yes

Who was it reported too? *

Name of person allegedly being bullied: *

Alleged location: *

School

Bus

Athletic Event

Other:

Required

Name of person allegedly bullying: *

The alleged bully is a: *

Student

School Employee

Other:

Required

Your Name (optional):

I am a: *

Student

School Employee

Parent/Guardian

Community Member

Friend

Other:

Required

Type of Event (Select all that apply): *

Physical-Hitting/kicking/other physical aggression

Verbal-Teasing, name-calling, put-downs, or other behavior that would hurt others' feelings or make them feel bad

Emotional/Exclusion-Starting rumors, telling others not to be friends with someone, or other actions that would cause someone to be without friends

Cyber Bullying-Using an electronic medium to engage in any previously mentioned bullying

Required

Description of events (Please be specific--Location/Date/Time): *

Did you witness the event? *

Yes

List other students/staff who witnessed the event: *

Submit

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