Bullying & Cyber Bullying Notification Form

The information you are sending is about someone you believe is being bullied or harmed(Required)

Bullying is when someone says or does something intentionally hurtful and they keep doing it even when you tell them to stop or show them that you are upset. Remember when you are completing this form, there are consequences for sending untruthful or misleading information. If you would prefer to remain anonymous, it is optional to provide your email address. However, please be aware that this may limit Collegiate’s ability to investigate and resolve your concern.

I consent

If you would prefer to remain anonymous, it is optional to provide your email address. However, please be aware that this may limit Collegiate’s ability to investigate and resolve your concern.

Enter Email Confirm Email

School Area(Required)

In this question, please select the campus or school the student attends. Early Learning Centre Junior School (years K – 4) Middle School (years 5 – 8) Senior School (years 9 – 12)

Name of person being bullied or harmed.

First Last

What happened?(Required)

Where did this happen?

How many others were involved, if any?

How often does this happen?

Every Hour

Every Day

Every other day

Once a week

Once per month

Unsure

I understand that this notification may not be read immediately if I am sending it outside of school hours. You must check 'Yes, I understand' before sending a notification.(Required)

Yes, I understand

Optional Attachments

Max. file size: 200 MB. This may include emails of relevant communications or screenshots

Drop files here or

Accepted file types: jpg, pdf, png, gif, Max. file size: 200 MB, Max. files: 5.

CAPTCHA

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