Bullying FormFirst NameLast NameEmailPhoneAre you a BDS Employee- Select -YesNoMay we contact you?- Select -YesNoIncident DetailsHow long has this been going on?- Select -DaysWeeksMonthsYearsGrade- Select -Pre-KKinder123456789101112Did anyone witness this incident?Have any staff members been notified of this?Severity of incident- Select -MinorModerateSevereWhere did the incident occur?Date & Time of the incidentBehaviorsCheckbox Field Cell Phone Message Exculsion/Leaving Out Name Calling/Insults Spitting Cyber Bullying Fighting Racist Comments Spreading Rumors Damaging Property Homophobic Comments Sexual Comments Threats/Intimidation Disability Comments Involving Friends/Peers Shoving/Hitting Weapon RelatedDescriptionSubmit
