Bullying Report

Bullying is complex and includes many different aspects of intimidation, violence, and victimization which are repeated over time. It includes planned actions to create fear and/or harm another person, and can be emotional, physical, and/or verbal; it also includes cyberbullying if it is done online. Bullying is not a random act of misbehaviour, an accident or an isolated incident, such as a conflict, that may affect a person adversely at one time.

* Indicates required field

On what date did the incident happen? *

Time and location of the incident: *

Who was involved? *

Give a description of the event. Try to include as much detail as you can. *

Have you had issues or witnessed issues with this person / these people before? If so, when? Was it reported? Please explain. *

Would you like to meet with someone from Mediation Station? *

Yes No

If yes, your name is: *

First

Last

Upload any relevant files, screenshots, etc. *

Max file size: 20MB

Upload any relevant files, screenshots, etc. *

Max file size: 20MB

Upload any relevant files, screenshots, etc. *

Max file size: 20MB

Submit

​​Bullying Report

Bullying Report