SCR1 High School Bullying Report

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This report is anonymous and confidential and should only be used when you are feeling a real concern for the physical, social, or emotional well-being of yourself or another student. If you feel this is an emergency, we encourage you to also report this immediately to a trusted adult. Once this report is submitted, it will be reviewed by the building Principal.

Please type the name of the student about whom you are concerned. *

Where did the incident you are reporting happen? *

Please describe the problem/incident you witnessed or experienced. Give as many details as you can. *

What is the approximate date and time this incident occurred? *

(Not required) Are you a:

Student

Parent

Employee

Other

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If you would like to leave your name, you may do so below. This is NOT required.

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