Report Bullying Now!
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FREWSBURG CENTRAL SCHOOL DISTRICT
26 INSTITUTE STREET
FREWSBURG, NEW YORK
Phone: (716) 569-7000
1.
What date did this happen?
(mm/dd/yyyy)
2.
Are you a: Student, Parent/Guardian, close Adult member, or Staff Member?
Are you a: Student, Parent/Guardian, close Adult member, or Staff Member?
Student
Parent/Guardian
Close Adult Member
Staff Member
3.
Select your school
Select your school
PK-6 Robert H. Jackson
7-12 Jr.Sr. High School
4.
Where did the incident happen:
All on School Property
On the School Bus
At a School Sponsored Event or Activity
On the way to/from school
Other
5.
If Other is selected for "Where Did the Incident Happen", please specify.
6.
What type of incident do you want to report?
Bullying
Destructiveness
Inappropriate Behavior
Other
7.
If Other is selected for "Type of Incident", please describe.
8.
If this is a bullying/harassment incident, please enter the VICTIM'S name.
9.
Please enter the name(s) of the alleged offenders.
10.
Please describe what happened.
