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St. Vincent de Paul School
A Community in Christ
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Kindergarten
Inquiries
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Volunteer
School Board
HASA
After School Care
Cafeteria
Health & Safety
Guidelines & Policies
Athletics
Scrip
School Supplies
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PBIS
CELEBRATE
Jr. High Electives
E-Resources
Student Links
Summer 2022
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Bulling Report
The maximum number of form submissions has been reached. This form is currently not available.
If you have been the target or have witnessed the bullying of another student, complete this form and submit. Reports of bullying will be investigated and disciplinary action will be taken as warranted.
** An individual has the right to complete this form anonymously; however it will be easier for the school to investigate this matter if as much information as possible is provided.
Date of Incident
Please enter a date.
Person Reporting
None
Parent/Guardian
Relative
School Staff Member
Student
Other
Name of Student Victim
Please enter valid data.
Grade of Student Victim
None
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Unsure
Name of Teacher of Student Victim
Please enter valid data.
Describe what happened/is happening:
Where did the incident take place?
On the School Playground
Through Technology
On the Way to/from School
During After School Activities
Other
If the incident took place in school please describe where:
Please enter valid data.
When did the bullying incident take place?
None
Before School
After School
During School
Name of Person(s) Bullying:
Please enter valid data.
Name of Any Witness(es):
Please enter valid data.
Have you told anyone?
None
Yes
No
If so, whom?
Please enter valid data.
Submit
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