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What is Bullying?
Cyber Bullying
Reporting Form
Active Shooter
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Report Incident Here
All Information provided on this form is confidential.
Name (or Anonymous)
*
First
Last
Email
*
Phone Number
*
*
Indicates required field
Other
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Sexual Discrimination
Racial Discrimination
Gender Discrimination
Ethnic Discrimination
Social Status Discrimination
Appearance Discrimination
Cyber Bullying
Disability Bullying
School Threat/Active Shooter Threat
Other
Be as detailed as possible and include names of people. Please provide a phone number where you can be contacted.
Narrative of Incident - be specific and include name(s) of perpetrators.
*
If you can provide screenshots of the incident, please email them to Mr. Eugene Titus at
[email protected]
or
[email protected]
Submit
