
Get the free Bullying Referral Form - Knowlton Township Elementary School
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KOWLOON TOWNSHIP SCHOOL DISTRICT P.O. Box 227, 80 Route 46 Delaware, New Jersey 078330227 Tel: 9084755118 Fax: 9084751141 Jeannine Deface Superintendent Dana Gruszecki Vice Principal Harassment Intimidation
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How to fill out bullying referral form

Who needs a bullying referral form?
01
Schools and educational institutions: Bullying referral forms are commonly used in schools to report instances of bullying. Teachers, administrators, and staff members may need to fill out these forms when they become aware of bullying incidents involving students.
02
Parents or guardians: If a parent or guardian becomes aware of a bullying incident involving their child, they may need to fill out a bullying referral form to report the incident to the appropriate authorities. This helps ensure that the incident is properly documented and addressed.
03
Students: In some cases, students themselves may need to fill out a bullying referral form if they witness or experience bullying. This empowers students to report instances of bullying and seek help from school authorities.
How to fill out a bullying referral form:
01
Begin by providing your contact information: Usually, the form will require your name, phone number, and email address. This information is essential for follow-up communication and allows the authorities to get in touch with you if needed.
02
Identify the victim: Specify the name and any relevant details about the person who has been subjected to bullying. Provide a description of the incident, including the date, time, and location.
03
Describe the bullying incident: Include as much detail as possible about the nature of the bullying. This may include the type of bullying (verbal, physical, cyber, etc.), the individuals involved, and any witnesses present.
04
Attach any supporting evidence: If you have any evidence, such as screenshots, texts, or photos related to the bullying incident, make sure to include them along with the form. This documentation can help substantiate the claim and aid in the investigation.
05
Provide additional information: The form may have additional sections to provide more context or detail about the incident. Take the time to fill in these fields accurately and completely.
06
Sign and submit the form: Once you have completed all the necessary sections, sign the form to certify the information you have provided. Follow the instructions provided on the form to submit it to the appropriate authority, such as a school administrator or counselor.
Remember, each institution may have its own specific bullying referral form, so it's essential to use the correct form provided by your school or organization.
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What is bullying referral form?
Bullying referral form is a document used to report instances of bullying in schools.
Who is required to file bullying referral form?
School staff, parents, or students who witness or are aware of bullying incidents are required to file the bullying referral form.
How to fill out bullying referral form?
The bullying referral form can be filled out by providing details of the bullying incident, including the date, time, location, and description of the incident.
What is the purpose of bullying referral form?
The purpose of the bullying referral form is to address and prevent bullying behavior in educational settings.
What information must be reported on bullying referral form?
The bullying referral form must include details of the bullying incident, names of individuals involved, and any witnesses to the incident.
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