Beaver Public Schools

BEAVER PUBLIC SCHOOLS

Bullying Incident Information

(This page is meant for students, parents and staff of B.P.S.)

The more information we can collect about the event, the better chance we will have in taking action to stop or prevent the events.

Please Fill Out The Report Bullying Below

Type of Incident?

Student to Student

Staff to Student

Student to Staff

Staff to Staff

Parent to Student

Parent to Teacher

Location of Incident (Bathroom, Bus, Playground, Classroom, etc.)

Date of Incident

Time of Incident

Alleged Offenders(s)

Victims(s)*

This incident was based on discriminatory, bullying, or harassing behavior in the category listed below:

Victim(s) Comments

Description of Incident

I am a?

Student

Parent

Staff

First Name

Last Name

Street Address

Address Line 2

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City

State

Zip

Phone Number

E-Mail Address

Email a copy to

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Required Fields