Online728 Bullying Report
Sign in to Google to save your progress. Learn more
Your First Name
Submitting your name is optional. Please understand that without providing your contact information, effectively investigating this incident may be difficult.
Your Last Name
Select your grade level
Clear selection
Please indicate the approximate date and time of the incident you are reporting
MM
/
DD
/
YYYY
Time
:
Read Before Continuing
Bullying is behavior that is unfair and one-sided (imbalance of power). It happens when someone keeps (repeated over time) hurting, frightening, threatening or leaving someone out on purpose with the intention to cause emotional or physical harm.

By continuing, you are agreeing that actions your are about to report meet the definition above. Remember, it is prohibited for any student to falsely accuse another individual of bullying.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Independent School District 728. Report Abuse