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Use the following form to report a bullying incident.



Today's Date:
Date & Time of Incident:
Who was engaged in bullying?
Grade level of student engaged in bullying:
Who was being bullied?
Grade level of student being bullied:
What type of bullying took place?

Where did the bullying incident take place?
Describe what happened with as many details as possible.
Full name of person reporting the incident. (Optional)
May we contact you for more information concerning this incident?
Email Address:
Phone Number:
The mission of the Wellman-Union Independent School District is to educate the young people of our community to become productive members of our constantly changing society. All students will be provided opportunities for the development of essential academic skills. Opportunities will be provided for going far beyond these essentials, as well. To the extent of their individual abilities, students will be provided the opportunity to think logically, independently, and creatively, and to communicate effectively. Emphasis will be placed on quality of personnel and instruction in accomplishing this mission.

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