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Bully Screening Form To be completed by PM Coordinator Name of Student #1 Name of Student #2 (Perceived victim) (Accused aggressor) Questions for the Coordinator to Answer: Do others suspect that
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How to fill out bully screening form to

Title: How to Fill Out a Bully Screening Form and Who Needs It?
How to Fill Out Bully Screening Form:
01
Begin by carefully reading the instructions provided on the form. Understand the purpose and requirements of the screening process. This will help you complete the form accurately.
02
Provide your personal information: Fill in your name, contact details, and any other identification details required. This ensures that your report can be properly addressed and stored for future reference.
03
Describe the incident: Clearly and concisely describe each bullying incident or occurrence you have experienced or witnessed. Include details such as date, time, location, and any other relevant information that will help in identifying and addressing the bullying behavior.
04
Accurately document the nature of the bullying: Indicate the type of bullying that occurred, such as verbal, physical, relational, or cyberbullying. Include specific details about the actions or behaviors involved.
05
Identify the parties involved: Provide the names, descriptions, and any identifiable information about the individuals who were engaged in the bullying behavior. This can include the perpetrator(s), any witnesses present, and any authority figures who may be involved.
06
Supplement with evidence: If applicable, attach any supporting evidence, such as photographs, screenshots, written documentation, or audio/video recordings. These materials can provide additional context and support your claims.
07
Sign and date the form: Ensure that you provide your signature and the date of completion. This signifies that the information provided is true and accurate to the best of your knowledge.
Who Needs Bully Screening Form:
01
Students: Children and adolescents who have experienced or witnessed bullying incidents at school or other educational institutions can benefit from filling out a bully screening form. This form allows them to officially report the incidents, seek appropriate assistance, and ensure a safer environment for themselves and others.
02
Parents/Guardians: If a student has been bullied, parents or guardians can assist them in filling out the bully screening form. This enables them to advocate for their child and collaborate with school authorities or relevant organizations to address the issue effectively.
03
School Administrators/Teachers: Bully screening forms are valuable tools for school administrators and teachers to identify patterns of bullying, implement necessary interventions, and ensure a safe learning environment for all students. They can use the collected information to address bullying incidents promptly and enforce appropriate disciplinary actions.
04
Counselors/Psychologists: Professionals in the field of mental health, such as counselors or psychologists, can use bully screening forms to assess the impact of bullying on an individual's emotional well-being. The information provided can guide them in creating tailored interventions and providing support to victims.
05
Anti-bullying Organizations: Organizations dedicated to combating bullying and raising awareness can use bully screening forms to gather data, track trends, and influence policies and programs aimed at reducing bullying incidents within schools and communities.
By utilizing bully screening forms, we can empower individuals affected by bullying to take action, seek support, and work together towards fostering a safer and more inclusive environment.
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