Hazing, Harassment, and Bullying Reporting
This form goes to Director Ms. Schneider and Assistant Director Mr. Farnsworth.
Name
*
First Name
Last Name
Email
example@example.com
What program are you in?
Type of Complaint
Harassment
Hazing
Bullying
I'm not sure
Who bothered you?
Where did this happen?
When did this happen?
Describe the incident (s).
Did other people see what happened? If so, list their names.
Is this the first time this person has bothered you or others? Please describe.
What do you think will resolve this problem?
Any other information we should know?
Submit
Should be Empty: