Spanish Fort Middle School Report of Bullying

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Bullying is a conscious, willful, deliberate, hostile and repeating behavior by one or more people, which is intended to harm others.

When reporting bullying, specific information must be given. We will need the full name of all parties involved in order for us to investigate a report properly. Reporting is confidential. Your email will be recorded when you submit this form. Based on the statement's given, student(s) may be interviewed.

The Counseling Department

Your Name:

Victim's Name (First and Last) *

Alleged Bully (First and Last) *

Explain what happened, including when and where it happened. Be as detailed as possible. *

Witnesses: Did anyone else see what happened? If so, who?

Did you tell anyone else about this? If so, who?

Is there any other information you would like to share about this incident?

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