Bullying Report

What are you reporting? *

Which school does the situation concern? *

Carlisle High School

Chamberlain Middle School

Grigsby Intermediate School

Alden Brown Intermediate School

Do you want to be contacted? *

Yes

No

Name of Person Reporting Bullying/Emergency * Not Required

Phone Number of Person Reporting Incident * Not Required

Email Address * Not Required

First and Last Name of person being Bullied/Victim ***Must have a name or it cannot be dealt with *

First and Last Name of Person Making Threats/Bullying/ETC *

Description of incident **NO ISSUE IS TOO SMALL * 🛈

When did the incident occur? (Specific dates and times should be identified when and where possible.) *

Where did the incident occurs? (Specific locations should be identified when and where possible. e.g. - "At Carlisle High School in the commons by the trophy case.") *

Is there any evidence or witnesses? *

Yes

No

Type of evidence and/or names of witnesses: *

Do you want to be contacted immediately or once the investigation is complete? ** We cannot share details of investigation due to Ohio Law, but inform you that it has been dealt with. *

I do not need to be contacted

Immediately

Once the investigation is complete