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ACISD Bully Reporting
IF THIS IS AN EMERGENCY CALL 911
This system does not provide emergency services. This system is only used to notify school administration.
You may also go directly to any school official (teacher, counselor, principal, etc.) to get help.
Your Name
Answer Required
Relationship to victim
*
Answer Required
Please Select
Self
Parent/Guardian
Teacher
Classmate
Other
Who was bullied? (Name and Grade)
*
Answer Required
Who did the bullying? (Name and Grade)
*
Answer Required
When did the bullying happen?
*
Answer Required
Where did the bullying happen?
*
Answer Required
Type of Bullying
*
Answer Required
Verbal
Non-verbal
Physical
Cyber-bullying
Other:
Briefly describe the incident
*
Answer Required
Any other information that you would like to share
Answer Required
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