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Bullying Reporting Form

Please complete the form below. Required fields marked with an asterisk *

Please fill out the fields below to start an investigation of a potential bullying incident. All reports trigger a comprehensive investigatory process and result in a finding. A response will occur as soon as possible. Thank you for helping FCTS maintain a healthy and safe school climate.

Name of reporter filling this form*

Note: Reports may be made anonymously, but no disciplinary action will be taken against an alleged aggressor solely on the basis of an anonymous report.

Answer Required

Name of person who is target of an aggressor*

Answer Required

Your Email Address

Will not be disclosed, used only for confirmation

Answer Required

Date of incident

Answer Required

Location(s) where incidents occurred

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Time when incident occurred

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Name of aggressor*

The 'aggressor' is the person who engaged in the behavior

Answer Required

Identities of witnesses

The list may include potential witnesses who were proximate to the incident(s)

Answer Required

Please review what you entered before you click the Submit button.

Confirmation Email

Email Required