Bullying Report Form
At HLCMS, we believe that bullying, harassment and/or other forms of intimidation are very serious acts and they will not be tolerated in our school.

Please complete this form to report an incident of bullying that involves a member of the HLCMS community. This form will be reviewed by the HLCMS counselor.
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Your Name (optional)
Today's Date *
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Name of the person being bullied *
Name of person doing the bullying *
When and where the bullying occurred or occurs *
Description of the incident(s) *
Submit
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