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LITTLEFIELD
JUNIOR HIGH SCHOOL

At Littlefield ISD, we take any behavior or action that affects the students in a negative way very seriously. Bullying of staff or students will not be tolerated.

Please complete this form to the best of your knowledge so we can assist you.

The information will be kept confidential with your campus administrators and/or superintendent.

Please Fill Out The JH Bully Report Below

Date of Incident:

Date of Report:

Who was the bully?

Grade of person(s) who engaged in bullying?

Who was being bullied?

Grade of person who was being bullied?

What type of bullying?

Physical

Emotional/Social

Damage to personal property

Online

Other details: (Please explain the specific location such as which hallway or classroom, what social media, which bus, etc)

Describe what happened with as many details as possible.

Person reporting the incident:(OPTIONAL). Please use your full name.

May we contact you for more information on this incident?

Reaquired field: Yes

Reaquired field: No

Thank you for reporting this incident. We appreciate your concern. When you click "Submit Form" this will be sent to the campus administrator.

Email a copy to: (optional)

Email a copy to

optional

Required Fields

LITTLEFIELD JUNIOR HIGH SCHOOL

LITTLEFIELD JUNIOR HIGH SCHOOL

JH Bully Report

LITTLEFIELD
JUNIOR HIGH SCHOOL

LITTLEFIELD
JUNIOR HIGH SCHOOL