North Lawrence
Community Schools
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  • Bullying Report Form
08/19/2018

Bully Reporting Form

This form may be used by anyone who experiences or witnesses bullying of a student. Fill the form out fully and hit the SUBMIT button to turn it in to our administrative team.
Please select a date.
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Please specify yes or no.





Please choose one or more of the following.
Please enter the name of the person being bullied.
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Please select the type of bullying.
Please describe the event.
Please describe the event.





Please choose one or more of the following.
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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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