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Bullying Report Form
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* Indicates required question
Person Reporting (if you would like it to be anonymous, please leave this blank)
Your answer
Who do you feel is being bullied?
*
Your answer
Who do you think they are being bullied by?
*
Your answer
Why do you feel like they are being bullied?
*
Your answer
How many times has this happened?
*
Your answer
Did you or anyone else step in to stop person you feel was being a bully? If so who? What happened?
*
Your answer
Do you have anything you can submit as proof? Examples are screen shots or the name of a person who witnessed the event as well.
*
Your answer
Is there anything else you would like us to know?
Your answer
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This form was created inside of Hanover School District #28.
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