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Report Bullying
Report Bullying
This form requires Javascript to be enabled for submission and authorization.
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Required
Madison School District views bullying as serious. Use the form below to report an incident of bullying.
Name
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required
First Name
Last Name
Email Address
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required
Your Phone Number
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required
How did you find out about this?
*
required
Where did this happen? (location)?
*
required
When did this happen? (day and time)
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required
Who did the bullying or harassment?
*
required
What type of bullying or harassment took place?
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required
Explain what took place in your own words:
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required
Would you like to be contacted?
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required
Yes
No
How should we contact you?
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required
Phone
Email
Phone or email
Don't contact me
When would you like to be contacted (Date and Time)?
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