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Bullying prevention and intervention reporting form Name of reporter Note Reports may be made anonymously but disciplinary action may not be taken against an alleged aggressor solely on the basis of an anonymous report. 1. Check if you are the Target of the behavior Reporter not the target Student Grade Staff Member Specify roll Parent/other Cont act number 3. Please use additional space on the back if necessary. Signature of person filing this report Date Note Reports may be filed...
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