Bullying Report Elementary
Page 1 of 1
Reporting Bullying on the Elementary Campus
Pg. 1 - Bully Form Our staff wants every student at Santo ISD to feel safe. If you or someone you know has been bullied or harassed at school, please fill out the form below. Even though you must provide your name, we will keep this information confidential.
1.
Enter YOUR Name (all responses will be confidential)
*
First Name
Last Name
Name of Reporter
2.
Enter YOUR contact information
Email
Phone
Reporter's Contact Info
3.
Victim
*
Who is being bullied?
Victim First Name
Victim Last Name
Victim
4.
Bully/Bullies
*
Who is doing the bullying?
Enter at least 1 response and no more than 10 responses.
List names of bullies and grades, if known
5.
Location
*
When and where the bullying took place
Enter at least 1 response.
Describe incident
6.
Situation
*
Give a short summary of bullying event(s)