Items denoted with a red asterisk * are required.

Please tell us about the bullying

 * On what DATE(s) did the bullying happen?
 
 * When did the bullying happen? (check all that apply)
 




If you answered "other" please give us more information
 
 * Where did the bullying happen (check all that apply)
 









If you answered "other" please give us more information
 
Did anyone try to stop the incident when it was happening?
 



If you answered yes, can you please describe what happened to try to stop the incident?
 

Please tell us as much as you can about the people involved

 
 

The word "target" means the person who was bullied.


The word "aggressor" means the person who was doing the bullying.


The word "bystander" means people who might have seen or heard the incident as it was happening. This might be someone who saw a fight, read something on Facebook, or saw a text between two people.


There is often more than one target and one aggressor involved in bullying incidents. Please give us as much information as you can about all of the people involved.

 * Please share the first and last name of at least one of the student(s) who were the targets of the bullying. If you don't know the student's full name please put as much as you know here.
 
 * Where do the target(s) go to school? If there is more than one target and the targets go to different schools please check ALL the schools involved.
 










If the one or more of the targets don't go to a Somerville public school please list the name of the school(s) they attend here.
 
 * Please share the first and last name of at least one of the student(s) who were the aggressors, or the bullies. If you don't know the student's full name please put as much as you know here.
 
 * Where do the aggressor(s) go to school? If there is more than one aggressor and the aggressors go to different schools please check ALL the schools involved.
 










If one or more of the aggressors don't go to a Somerville public school please list the name of the school(s) they attend here.
 
Please list the name of any teacher(s) or other adult(s) who might have seen the incident.
 
Please list the name of any other children, teens or young people who might have seen the incident.
 
Do you know of any bullying that has happened between these people before this incident?
 



Please tell us about you

 * How did you find out about this incident? (check all that apply)
 





If you answered "other" please give us more information
 
Please enter the text
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