Union County High School

Online Bullying Report Form - Union County High School and CATE Center

Dr. Alfred Williams, Principal

Online Bullying Report Form UCHS

Please answer the following questions.

1.)  At what school did the incident occur?    

2.) Name of student   

3.)  Grade of student  

4.) Name(s) of alleged perpetrators.  

5.) Description of incident including approximate date(s).



6.) Name(s) of individual(s) who may have information or been a witness to the incident. 

7.) Have other similar incidents occurred?  If so, when?


8.) Were the other incidents reported?  If so, when?

9.) Name, email and phone number of complainant.

             



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