See Something, Say Something, Stop Bullying Now

IMPORTANT - PLEASE READ:

The information submitted on this page is not monitored 24/7 and is not an emergency communication tool. If you or someone you know is experiencing a crisis or is in immediate danger, please contact 9-1-1. Otherwise, a staff member will work to resolve your concern as quickly as possible during normal business hours. "Bullying" means any aggressive and unwanted behavior that is intended to harm, intimidate, or humiliate the victim; involves a real or perceived power imbalance between the aggressor or aggressors and victim; and is repeated over time or causes severe emotional trauma. "Bullying" includes cyber bullying.

"Bullying" does not include ordinary teasing, horseplay, argument, or peer conflict.

Source: Code of VA § 22.1-276.01.

Your name (person reporting this behavior)

(Not required, but would make follow up possible)

Are you the victim, a witness, a parent, or other?

Victim
Witness
Parent/Guardian
Friend or another student/person with information

Please give us your name so we can help you.

Will you please give us your name to better help us investigate this issue?

Name of the student you feel is being bullied *

Put your own name if you are the victim

What school does the student (possible victim) attend? *

Date of the most recent incident

Type of bullying taking place *

Physical
Gesture/Written/Verbal Expression
Property Damage
Cyber/Text/Social Media
Other

If "Other", what other type of bullying?

Describe the most recent event *

Who was involved? Please let us know who, what, when and where the event happened with as much detail as possible. Include details about additional events that are related.

Was this event reported to an adult? *

Yes
No

Who was it reported to?

Was there an adult around to see the incident? *

Yes
No

Who was the adult?

Thank you...

Your concern will be reported directly to the school principal and the administrator in charge of safety.

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Name

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See Something, Say Something, Stop Bullying Now