Immanuel Lutheran School Bully Reporting Form

Please provide as much detail as possible to help us deal with the problem effectively.
Please enter the name of the person being bullied.

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Please enter the name of the bully.

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Please choose one or more of the following.

Please select the type of bullying.

Please describe the event.

Please specify yes or no.

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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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