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Report Suspected Bullying
5 Questions
1) Please enter your full name.
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2) Please select your relationship with the school.
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student
staff
parent/guardian
community member
3) Please provide the first and last name of the student who you suspect is being bullied.
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4) Please describe the suspected bullying incident fully - including location, date/time, individuals engaged in bullying, a description of the incident, and possible eyewitnesses.
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5) Please provide a phone number or email address that we can use to contact you if we have further questions regarding this incident.
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New Middletown Elementary
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Report Suspected Bullying
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