Foster Park Elementary

       Online Bullying Report Form - Foster Park Elementary

Jason Koepke, Principal

Online Bullying Report Form FPES

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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