Benton-Carroll-Salem Local Schools Report of Suspected Harassment, Intimidation or Bullying
This report shall be promptly investigated by the principal, or designee, according to Board policy.
Sign in to Google to save your progress. Learn more
Person Reporting (optional)
Report Against *
Alleged Victim
*
Which building does the student attend?
Clear selection
Please be reasonably specific in describing the incident(s), the names of the person(s) involved (if known), the places of alleged conduct, and the names of any potential student or staff witnesses.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Benton Carroll Salem Schools. Report Abuse