Peninsula Catholic High School -> Learn with Us -> Counseling -> Anonymous Reporting Form
Logo
 
Learn with Us

Anonymous Bullying Reporting Form


Location of incident
Hallway
Restroom
Classroom
Gym
Cafeteria
Parking Lot
School Event (dance, game, etc)
Text/Phone/Internet/Social Media
Name of Victim
Name of student doing the bullying
Type of bullying
check all that apply
Shoving/Pushing
Hitting/Kicking/Punching
Threatened
Stole or Damaged Property
Excluded
Taunted/Ridiculed
Told Lies/Spread Rumors
Intimidation
Demeaning Comments
Inappropriate Touching
Cyber Bullying
Other
What happened
Please give as much information as you can.


 


search login