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Trent ISD Report Bullying Form

Bullying is a serious issue and will not be tolerated. Use this form to report bullying that occurred on school property; at a school-sponsored activity or event off school property; on a school bus; on the way to and/or from school; on social media or through text message, during the current school year. If you are a student or a friend of a student who is getting bullied and wish to report an incident of bullying, complete this form and then click the submit button. You may remain anonymous by not entering personal details. All reports will be investigated.
Date:
Person making report: (This is optional; however, by giving us your name it will make a thorough investigation easier)
I am a:
Day Time Phone Number: (optional)
Address: (optional)
Email Address: (optional)
Person or Persons that are the target of inappropriate behavior Please provide first and last names
Person or persons that are behaving inappropriately: Please provide first and last names
Date of incident:
Time of incident:
Location where incident occurred: Be as specific as possible
Type of Harassment







Witnesses: List people who saw or heard the incident or that have relevant information about the incident. Please tell us if the witness is a parent, staff member, student or community member.
Description of Incident:














Describe the incident in detail, including the name of the person or persons involved, what was said and done, and specific words used.

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