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BULLYING REPORT FORM
It is an expectation at Reavis High School that when we See Something, We Say Something.
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Email
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Record my email address with my response
I am a
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Student
Guardian/Family Member
Other:
Please describe what happened.
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Your answer
Name of person(s) involved.
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Your answer
Date and Time this happened.
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Your answer
Place the incident occured.
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Your answer
What type of help would you like with this issue?
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Your answer
Have you told anyone else about the incident? If so who?
Your answer
Your name (Optional, but helpful)
Your answer
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