VandenBerge Middle School Bullying Report

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Your First Name

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Your Last Name

Select your grade level

6th Grade

7th Grade

8th Grade

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Check all that apply

I am reporting bullying that happened to me.

I am reporting bullying that happened to someone else.

Please identify the approximate date and time of the incident you are reporting

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 (intended to harm).

By continuing you are agreeing that actions you are about to report meet the definition above.

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