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Anonymous Bullying/Threatening Behavior Report
This online bullying or threatening behavior report was created so that people would have a safe way to report bullying and safety concerns.
When a person really needs help we hope you will step up and send in a report. Sending in a false report makes it harder for your school to help the people who really need it.
After you submit the form, this form/report sends an email to a school administrator with all of the details from your bully report. If there is an immediate concern and danger, please call 911.
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* Indicates required question
Please choose the location where the incident happened.
*
Hallway
Classroom
Gym
Lunchroom
Bathroom
Virtually
Other
Required
Please provide us with the TIME and DATE that the incident happened.
*
Your answer
How many times has this situation happened?
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This is the first time
One other time
Once a week
Once a month
Every day
Other
Have you reported this incident to an adult at EFWMA?
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Yes
No
Who was bullying, harassing, intimidating, or causing harm? (Please include first name, last name, and grade if possible.)
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Your answer
Describe what happened. Give as much information as you can. Let us know if there were any witnesses or bystanders and please include their names, grades if possible.
*
Your answer
This is an anonymous form and we respect your request to remain anonymous. However, if you would like us to contact you, feel free to provide your contact information (email/phone).
Your answer
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This form was created inside of East Fort Worth Montessori Academy.
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