Report of a bullying allegation (Appendix 1) Date reported Reported by? Date of incident(s) What happened? (Brief description of the incident/behaviours) ………………………………………………………………………………………………………………………. . ………………………………………………………………………………………………………………………. ....
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Report of a bullying allegation (Appendix 1) Date reported Reported by? Date of incident(s) What happened? (Brief description of the incident/behaviours) ………………………………………………………………………………………………………………………. . ………………………………………………………………………………………………………………………. . ………………………………………………………………………………………………………………………. . ………………………………………………………………………………………………………………………. . ………………………………………………………………………………………………………………………. . ………………………………………………………………………………………………………………………. . Nature of incident? Racist Extortion LGBT Violence Sexual Threatening Cyber-bullying Verbal Religious Exclusion Other: __________________________________________ Where did this occur? Any witnesses?
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