Pond Creek-Hunter

1) Date & Time of the incident being reported: (optional)

2) Person being bullied (if bullying is taking place): (optional)

3) Person(s) who is bullying others, or threatening others or the school (optional)

4) Being as specific as possible, What is happening? (Use name of everyone involved if possible) (optional)

5) Being as specific as possible, When and Where is it happening? (ie time of day, during specific class, before/after school, specific location) (optional)

6) Bystanders/witnesses to the event (Include Grade/Class where possible) (optional)

7) Additional information you feel is helpful (optional)

Pond Creek-Hunter

Forms