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Reporting Bullying and Sexual Harassment
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What is your name? Leave this blank if you wish to make an anonymous report.
Your answer
Your Year Group
*
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
I would prefer not to say
What are you reporting?
Bullying
Sexual Harassment (unwanted behaviour of a sexual nature such as sexual comments, remarks, jokes, unwanted touching and online sexual harassment)
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Where did the incident happen?
*
In school
Outside school
Required
Where did the incident happen? (Please give the exact location)
*
Your answer
When did the incident happen? Give the exact date and time if known
*
Your answer
Describe the incident. What happened, who was involved etc.
*
Your answer
Were there any witnesses to the incident? Leave this question blank if you do not want us to know who they are or you do not want us to speak to them.
Your answer
Describe the impact the incident has had on you
*
Your answer
Have you reported the incident to anyone else?
*
Yes
No
If you have reported the incident to anyone else, please tell us who this was.
Your answer
What would you like to happen as a result of reporting the incident? Remember if you have reported this anonymously, we may be limited in what we can do specifically.
*
Your answer
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