SMSJ Reporting Bullying Form

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Please use this form to report bullying whenever you see it. You can report issues you have seen, overheard or if you have been affected by bullying.

If you are concerned about your safety or that of others then please speak to Mrs Pittaway, Mr Fox, Ms Thomas, or your Head of Year

Email *

Who is being bullied?

Who is the bully?

What has been happening? (Where and When too)

Did anybody else see?

Have you informed your parent or carer? It's best to do this so they can provide assistance to you and school

Yes

Other:

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A copy of your responses will be emailed to the address you provided.

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