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Bully Reporting Form

Name of person being bullied - to investigate the incident a name must be entered(*)
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Name of Bully - to investigate the incident a name must be entered(*)
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Your Name (Optional)
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Please select a school(*)
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(*)
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I am a(*)




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Please select all that apply(*)


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Description of Events (Please be specific - use exact wording, names, place, time, etc..)
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Did you witness the bullying
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Please list the name of any other student or staff who may have witness the bullying
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The administrators will investigate the report and take appropriate actions to deal with the situation. Since much of what we do needs to remain confidential, you may not know of the steps we take to stop the bullying. If the bullying does not stop, we need to take additional steps. Please let us know if the bullying continues.
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    • Office Information

      Corporation Office
      #2 Redskin Trail
      Knox, IN 46534
      Phone - (574) 772-1600
      Fax - (574) 772-1608

      Office Hours
      Mon-Fri 6:00AM - 5:00PM

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    • Contact

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      Superintendent
      (574) 772-1601

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      Director of Curriculum/Instruction
      (574) 772-1602

  • Location